Healthcare Provider Details

I. General information

NPI: 1902317936
Provider Name (Legal Business Name): CHAKEIA MARKELLE JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2017
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WASHINGTON ST STE 401
MONROE LA
71201
US

IV. Provider business mailing address

2803 MACKEY LN
SHREVEPORT LA
71118-2523
US

V. Phone/Fax

Practice location:
  • Phone: 318-388-0293
  • Fax:
Mailing address:
  • Phone: 337-945-8105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8984
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: