MS. TRACIE DENEICE JACKSON


Address: 6005 Financial Plz, Shreveport, LA 71129-2615
Phone: 3186322040

MS. TRACIE DENEICE JACKSON (NPI# 1518997196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518997196
Entity Type Individual
Full Name MS. TRACIE DENEICE JACKSON
Credential MA, PC2
Practice Address 6005 Financial Plz
Shreveport
LA 71129-2615
Practice Telephone 3186322040
Practice Fax Number 3186322073
Mailing Telephone 3186322040
Mailing Fax Number 3186322073
Enumeration Date 2006-07-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3384 LA Behavioral Health & Social Service Providers

Other Providers TRACIE JACKSON

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1932458346 Tracie Lynn Jackson Nurse Practitioner 740 S Limestone St Perioperative Services, Suite J111, Lexington, KY 40536-0200 2012-08-30
1982883609 Tracie Jackson Dentist 1507 W League City Pkwy Ste 100, League City, TX 77573-7340 2007-10-30
1275181414 Tracie Latrice Jackson Chore Provider 3620 N Rancho Dr Ste 117, Las Vegas, NV 89130-3154 2019-08-30
1184167751 Tracie Jackson Physical Therapy Assistant 6300 Sw 6th Ave, Topeka, KS 66615-1013 2016-11-29
1487948154 Tracie Lashelle Jackson Physical Therapist 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 2011-05-31
1982807715 Tracie Lee Jackson Dietitian, Registered 8601 W Dodge Rd, Suite # 30, Omaha, NE 68114-3457 2007-06-08

Office Location

Street Address 6005 FINANCIAL PLZ
City SHREVEPORT
State LA
Zip Code 71129-2615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912950957 Jeri Lynn Rasch Psychiatry & Neurology 6005 Financial Plz, Shreveport, LA 71129-2615 2006-05-19
1093984957 Heather Kleckinger Counselor 6005 Financial Plz, Shreveport, LA 71129-2615 2008-02-25
1336346824 Kenneth Joseph Armand Counselor 6005 Financial Plz, Shreveport, LA 71129-2615 2007-06-28
1083811673 Me'chelle Yvette Allen Counselor 6005 Financial Plz, Shreveport, LA 71129-2615 2007-06-28
1316144967 Michelle Marshall Counselor 6005 Financial Plz, Shreveport, LA 71129-2615 2007-06-28
1912043324 Cindy Ann Thomas Counselor 6005 Financial Plz, Shreveport, LA 71129-2615 2007-01-30
1952456436 Allison French Patterson Social Worker 6005 Financial Plz, Shreveport, LA 71129-2615 2007-01-24
1528098043 Larry L Carper Counselor 6005 Financial Plz, Shreveport, LA 71129-2615 2006-07-03
1982634408 Alice Mae King Social Worker 6005 Financial Plz, Shreveport, LA 71129-2615 2006-07-03
1255361812 Robert E Boyd Counselor 6005 Financial Plz, Shreveport, LA 71129-2615 2006-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184241739 D&d Transportation Agency LLC Non-emergency Medical Transport (VAN) 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 2020-06-30
1013407006 Kimron Smith Counselor 7550 Pines Road Suite 1115, Shreveport, LA 71129 2018-05-15
1801383518 Latarsha Parker Counselor 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 2018-04-18
1003317652 Demarkus Webb Case Manager/Care Coordinator 6117 Newton Abbott Dr, Shreveport, LA 71129 2018-02-27
1073024014 Charnita Thomas Case Manager/Care Coordinator 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 2017-10-17
1578073334 Keyon Williams Counselor 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 2017-10-06
1689193765 Beranna R Smith Physical Therapy Assistant 8186 Dance Dr., Shreveport, LA 71129 2017-09-11
1699204982 Bac Foundation Community/Behavioral Health 8500 Pines Rd 19, Shrevepot, LA 71129 2017-06-08
1407381973 Dominique Stevenson Specialist 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 2017-04-21
1538692496 Dale Smith Counselor 5925 Dexter Pl, Shreveport, LA 71129 2017-04-07
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801409313 Divine Behavioral Health, LLC Counselor 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 2020-08-25
1912519083 Tashara D Williams Counselor 3615 Crestview Cir, Shreveport, LA 71119-6522 2020-08-20
1528689213 Whitfield Counseling Services Counselor 2924 Knight St Ste 410, Shreveport, LA 71105-2413 2020-05-04
1376172908 Lajuana Stephens Counselor 7318 Winder Dr, Shreveport, LA 71129-4013 2020-04-06
1417503723 Beyond The Crossroads Counseling Center, LLC Counselor 3321 Youree Dr Ste E, Shreveport, LA 71105-2123 2019-08-13
1336702950 Terrance Toney Sr. Counselor 272 E 78th St, Shreveport, LA 71106-5602 2019-04-18
1922564327 Briana A Craige Counselor 6009 Financial Plz # 102, Shreveport, LA 71129-2615 2019-02-11
1518434182 Road To Change Counselor 2620 Centenary Blvd Ste 204, Shreveport, LA 71104-3350 2018-10-31
1619455649 Kindled Keys of Counseling, LLC Counselor 1737 Boykin Blvd, Shreveport, LA 71107-6108 2018-08-01
1174040646 Khakillya Babers Everett Counselor 8214 Green Leaf Ln, Shreveport, LA 71108-5738 2017-08-25
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Competitor

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City SHREVEPORT
Zip Code 71129

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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