| Humanity2020 Group Llc | |
|
602 Main St Ste 113 Pineville LA 71360-6936 | |
| (318) 413-5995 | |
| Not Available |
| Full Name | Humanity2020 Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 602 Main St Ste 113, Pineville, Louisiana |
| Authorized Official Name and Position | Mayquie Jackson (CEO/ADMIN) |
| Authorized Official Contact | 3188956106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanity2020 Group Llc 201 Century Village Blvd Ste 256 Monroe LA 71203-2008 Ph: (318) 413-5995 | Humanity2020 Group Llc 602 Main St Ste 113 Pineville LA 71360-6936 Ph: (318) 413-5995 |
| NPI Number | 1356116594 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356116594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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