Healthcare Provider Details

I. General information

NPI: 1629929708
Provider Name (Legal Business Name): MERIWETHER LOUISE MARCHETTI PLPC, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 INTERSTATE 55 NORTH FRONTAGE ROAD SUITE 279
JACKSON MS
39211
US

IV. Provider business mailing address

41 MOSS FOREST CIR
JACKSON MS
39211-2906
US

V. Phone/Fax

Practice location:
  • Phone: 601-405-7440
  • Fax:
Mailing address:
  • Phone: 601-503-3259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP-1487
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: