LATRISHIA GANT JACKSON
NPI 1548760952
Counselor - Mental Health in Shreveport, LA
Active since February 13, 2018
About Latrishia Gant Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATRISHIA GANT JACKSON (NPI 1548760952) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since February 2018.
NPPES Registry Identity
NPI1548760952
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLATRISHIA GANT JACKSON
Location Address543 STONER AVEShreveport, LA 71101-4122
Mailing Address543 Stoner AveShreveport, LA 71101-4122 · (318) 673-9901
Phone(318) 673-9901
Sole ProprietorYes
Enumeration DateFebruary 13, 2018
✔ NPI 1548760952 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
543 STONER AVE, Shreveport, LA 71101
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548760952, enumerated as an "individual" on February 13, 2018.
The provider is located at 543 STONER AVE SHREVEPORT, LA 71101 and the phone number is (318) 673-9901.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
