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MICHEAL JACKSON
NPI 1629520614
Counselor - Mental Health in Tallulah, LA

Active since October 26, 2016
1705 FELICIA AVE, TALLULAH, LA 71282(318) 574-1232(318) 574-8646 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Micheal Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHEAL JACKSON (NPI 1629520614) is an individual mental health provider in Tallulah, Louisiana and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1629520614
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHEAL JACKSON
Location Address1705 FELICIA AVETallulah, LA 71282-8203
Mailing Address1705 Felicia AveTallulah, LA 71282-8203 · (318) 574-1232 · Fax (318) 574-8646
Phone(318) 574-1232
Fax(318) 574-8646
Sole ProprietorYes
Enumeration DateOctober 26, 2016
✔ NPI 1629520614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1705 FELICIA AVE, Tallulah, LA 71282
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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.

MR. CHARLES FOSTER III
Case Manager/Care Coordinator
1705 FELICIA AVE
TALLULAH, LA 71282
Madison Parish (318) 574-1232
LASHINDA SCHENELLE NIX
Case Manager/Care Coordinator
1705 FELICIA AVE
TALLULAH, LA 71282
Madison Parish (318) 719-8196
THELMA HOLLOWAY
Case Manager/Care Coordinator
1705 FELICIA AVE
TALLULAH, LA 71282
Madison Parish (318) 574-1232
JACQUELINE MCMILLAN
Counselor (Mental Health)
1705 FELICIA AVE
TALLULAH, LA 71282
Madison Parish (318) 574-1232
CYNTHIA BRYAN BSW, RSW, LAC
Counselor (Addiction (Substance Use Disorder))
1705 FELICIA AVE
TALLULAH, LA 71282
Madison Parish (318) 574-1232
MR. ARTIS BROWN
Case Manager/Care Coordinator
1705 FELICIA AVE
TALLULAH, LA 71282
Madison Parish (318) 574-1232
BRIANNA L STEVENSON
Counselor (Professional)
1705 FELICIA AVE
TALLULAH, LA 71282
Madison Parish (318) 574-1232
MS. GLENDA HENDON
Counselor (Mental Health)
1705 FELICIA AVE
TALLULAH, LA 71282
Madison Parish (318) 574-1232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micheal Jackson's NPI number?

The NPI number for Micheal Jackson is 1629520614. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Micheal Jackson located?

Micheal Jackson practices at 1705 Felicia Ave, Tallulah, LA 71282. The listed phone number is (318) 574-1232.

What is Micheal Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Micheal Jackson was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.