| Humanity2020 Group | |
|
201 Century Village Blvd Ste 256 Monroe LA 71203-2008 | |
| (318) 415-5900 | |
| Not Available |
| Full Name | Humanity2020 Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 201 Century Village Blvd Ste 256, Monroe, Louisiana |
| Authorized Official Name and Position | Mayquie Jackson (CEO/FOUNDER) |
| Authorized Official Contact | 3188956106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanity2020 Group 2720 Fairfield Ave Shreveport LA 71104-2924 Ph: (318) 895-6106 | Humanity2020 Group 201 Century Village Blvd Ste 256 Monroe LA 71203-2008 Ph: (318) 415-5900 |
| NPI Number | 1164116430 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164116430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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