Maxie, James

Maxie, James is an sole proprietor health care provider with primary practice located at 200 N Thomas Dr , Shreveport LA 71107-6503. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Respite Care Facility / Respite Care, Mental Illness, Child, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Maxie, James can be contacted via phone (318) 573-3942.

Contact Information

Primary practice address
200 N Thomas Dr Shreveport LA 71107-6503
Phone: (318) 573-3942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Louisiana
Other Service Providers / Peer Specialist 175T00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X Louisiana

Profile Details

NPI number 1952898280
LBN Legal business name Maxie, James
Credentials MA,QMHP-CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2018
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952898280 NPPES
Texas MEDICAID 0000000
Texas MEDICAID 11023

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