# MR. JAMES MAXIE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952898280
- **Gender:** Man
- **Credential:** MA,QMHP-CS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | LA | — |
| 101YM0800X | Mental Health Counselor | — | LA | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | LA | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | LA | — |

## Other

- **Enumeration date:** 04/23/2018
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000000 | — | TX |
| 05 | — | 11023 | — | LA |
