Mrs. Terronda Lanae Jackson is a Blythewood, South Carolina based counselor who is specialized as Mental Health Counselor. Active license number of Mrs. Terronda Lanae Jackson is 6574 for Counselor in South Carolina. Her current practice location is 140 Hunters Run Dr, Blythewood. Patients can book an appointment with her at 803-814-7115.
Mrs. Terronda Lanae Jackson is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mrs. Terronda Lanae Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mrs. Terronda Lanae Jackson
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
MA, LPCA
Accepts Medicare Assignment:
No
Practice Address:
140 Hunters Run Dr, Blythewood, South Carolina, 29016-9206
Phone:
803-814-7115
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1992276810
NPI Enumeration Date:
17 Dec, 2018
NPI Last Update On:
17 Dec, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Terronda Lanae Jackson are as mentioned below.
License Number
Specialization
State
Status
6574
Counselor
South Carolina
Primary
6574
Mental Health Counselor
South Carolina
Secondary
6574
Pastoral Counselor
South Carolina
Secondary
6574
Professional Counselor
South Carolina
Secondary
6574
Community/Behavioral Health
South Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Terronda Lanae Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6574
Other
South Carolina
LPCA
1045081474
Other
TRICARE PRIME
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
140 Hunters Run Dr, Blythewood, South Carolina
Zip:
29016-9206
Phone Number:
302-265-5993
Patients can reach Mrs. Terronda Lanae Jackson at 140 Hunters Run Dr, Blythewood, South Carolina or can call to book an appointment on 803-814-7115. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.