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MAYQUIE JACKSON
NPI 1861108573
Counselor - Mental Health in Shreveport, LA

Active since January 25, 2023
103 BOULEVARD ST, SHREVEPORT, LA 71104(318) 895-6106 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mayquie Jackson NPPES

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

MAYQUIE JACKSON (NPI 1861108573) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1861108573
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMAYQUIE JACKSON
Location Address103 BOULEVARD STShreveport, LA 71104-2503
Mailing Address103 Boulevard StShreveport, LA 71104-2503 · (318) 895-6106
Phone(318) 895-6106
Sole ProprietorYes
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
✔ NPI 1861108573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
103 BOULEVARD ST, Shreveport, LA 71104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Mayquie Jackson's NPI number?

The NPI number for Mayquie Jackson is 1861108573. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Mayquie Jackson located?

Mayquie Jackson practices at 103 Boulevard St, Shreveport, LA 71104. The listed phone number is (318) 895-6106.

What is Mayquie 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 Mayquie Jackson was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.