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Organization

HUMANITY2020 GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAYQUIE JACKSON (CEO/ADMIN)
(318) 895-6106
Entity
Organization

Contact information

Practice address
602 MAIN ST STE 113, PINEVILLE, LA 71360-6936
(318) 413-5995
Mailing address
201 CENTURY VILLAGE BLVD STE 256, MONROE, LA 71203-2008
(318) 413-5995

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/17/2023
Last updated
11/17/2023
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