Individual provider · NPI-1
Amore Nichole Jackson
Developmental Therapist · Charlotte, NC
NPI number1174178024
StatusActive
Last updated in NPPESDec 12, 2023
Details
- NPI
- 1174178024
- Entity type
- Individual (NPI-1)
- Name
- Amore Nichole Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2019
- Certification date
- Dec 12, 2023
- Last updated
- Dec 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 183700000X | Pharmacy Technician | – | – |
Other names
- Amore Nichole Thompson (Former Name)
Practice location
6120 Brookshire Blvd Ste WCharlotte, NC 28216-3300
Phone 980-251-5899
Mailing address
1962 Hartford DrGastonia, NC 28052-6050
Other practice locations
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Developmental Therapist providers in Charlotte, NC
- Alexandra Nichole BakerNPI 1942572748
- Jenifer BecknerNPI 1811345143
- Janay Brena, Behavior AnalystNPI 1851759500
- Sara Casarez, MSW, LCSWNPI 1598001158
- Lisa S Cook, MANPI 1497993760
- Sheri Coughlin, RBTNPI 1861023608
- Taryn DolanNPI 1245897156
- Brittany Wray Bishop Drake, BCBANPI 1700219201
- Victoria Martin Hughes, BCBANPI 1558722090
- Kimberly A Levy, BSNPI 1306083761