Healthcare Provider Details

I. General information

NPI: 1598233314
Provider Name (Legal Business Name): JESSIE LANAE JAMES MAAT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 VETERANS MEMORIAL BLVD STE 310
METAIRIE LA
70005-2862
US

IV. Provider business mailing address

2408 SAINT ROCH AVE
NEW ORLEANS LA
70117-7920
US

V. Phone/Fax

Practice location:
  • Phone: 504-220-1483
  • Fax: 888-248-7189
Mailing address:
  • Phone:
  • Fax: 888-248-7189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7754
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: