Organization
HUMANITY2020 GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYQUIE JACKSON (CEO/FOUNDER)
(318) 895-6106
Entity
Organization
Contact information
Practice address
201 CENTURY VILLAGE BLVD STE 256, MONROE, LA 71203-2008
(318) 415-5900
Mailing address
2720 FAIRFIELD AVE, SHREVEPORT, LA 71104-2924
(318) 895-6106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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