FANETTA MAQUAIL HOUSTON
NPI 1659925626
Counselor - Mental Health in Shreveport, LA

Active since July 29, 2019
458 HERNDON ST, SHREVEPORT, LA 71101(318) 429-6938 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2022, Mar 10, 2022, Oct 11, 2019 and 1 more (4 updates tracked since 2019).

About Fanetta Maquail Houston NPPES

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

FANETTA MAQUAIL HOUSTON (NPI 1659925626) is an individual mental health provider in Shreveport, Louisiana, licensed in Louisiana (LPC7978) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1659925626
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameFANETTA MAQUAIL HOUSTON
Location Address458 HERNDON STShreveport, LA 71101-4859
Mailing Address8501 Millicent WayShreveport, LA 71115-2237 · (662) 312-5913
Sole ProprietorNo
Enumeration DateJuly 29, 2019
Last NPPES UpdateSeptember 15, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
NPI 1659925626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in LA · LPC7978
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License PLC7978 (LA)
458 HERNDON ST, Shreveport, LA 71101

Accepted Insurance

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.

Counselor (Professional)
458 HERNDON ST
SHREVEPORT, LA 71101
Counselor (Professional)
458 HERNDON ST
SHREVEPORT, LA 71101
Case Manager/Care Coordinator
458 HERNDON ST
SHREVEPORT, LA 71101
Counselor (Mental Health)
458 HERNDON ST
SHREVEPORT, LA 71101
Case Manager/Care Coordinator
458 HERNDON ST
SHREVEPORT, LA 71101
Case Manager/Care Coordinator
458 HERNDON ST
SHREVEPORT, LA 71101
Case Manager/Care Coordinator
458 HERNDON ST
SHREVEPORT, LA 71101
Case Manager/Care Coordinator
458 HERNDON ST
SHREVEPORT, LA 71101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659925626, enumerated as an "individual" on July 29, 2019.

The provider is located at 458 HERNDON ST SHREVEPORT, LA 71101 and the phone number is (318) 429-6938.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: HMO Louisiana. Please consult your insurance carrier or call the provider to verify.