MEDICARE: MR. JAMICHAEL ANTONIO TURNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1164388906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMICHAEL ANTONIO TURNER

Provider Business Mailing Address
First Line	:	4780 I 55 N
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-5542
Country	:	US
Telephone Number	:	318-516-3801
Fax Number	:	504-389-1151

Provider Business Practice Location Address
First Line	:	4780 I 55 N
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-5542
Country	:	US
Telephone Number	:	318-516-3801
Fax Number	:	504-389-1151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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Directions to “ MR. JAMICHAEL ANTONIO TURNER ” Practice Location

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