Queysheina Jackson
Individual provider Active NPI Mental Health Counselor · Reserve, LA
NPI 1780242693 · NPPES record last updated Jun 5, 2019
Key facts
- NPI
- 1780242693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 215 Homewood PL
Reserve, LA 70084-5525 - Phone
- (985) 212-2002
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
215 Homewood PL
Reserve, LA 70084-5525
Mailing address
215 Homewood PL
Reserve, LA 70084-5525
Phone (985) 212-2002
Other providers in Reserve, LA
- Greater Living Care Center
- Quentin Green
- G'Nell R Hall
- Maria Anne Hotard Stelly
- Asha Nicole Jackson
- Varsha Jasti
- Crystal Jones
- Just Health
- Just Like Family Transportation LLC
- Natalie Larose
All providers in Reserve, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.