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Search › Massachusetts › 104100000X

Mentie Jackson

NPI 1124971213 · on the registry since 2026 · sole proprietor

Practice

Address
6 Liberty Sq Ste 428
Boston, MA 02109
Phone
(857) 567-8880
Organisation at this address
Mds Group Llc
Kinder Mind Llc
Kalypso Treatment Centers, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts