Provider Demographics
NPI:1598233314
Name:JAMES, JESSIE LANAE (MAAT, LPC)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:LANAE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MAAT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 SAINT ROCH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-7920
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:888-248-7189
Practice Address - Street 1:1000 VETERANS MEMORIAL BLVD STE 310
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2862
Practice Address - Country:US
Practice Address - Phone:504-220-1483
Practice Address - Fax:888-248-7189
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 221700000X
LA7754101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty