NPI Code Details Logo

NPI 1629929708

NPI 1629929708 : MERIWETHER LOUISE MARCHETTI PLPC, MS : JACKSON, MS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629929708
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MERIWETHER LOUISE MARCHETTI PLPC, MS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/05/2026
-----------------------------------------------------
    Last Update Date     |    02/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4500 INTERSTATE 55 NORTH FRONTAGE ROAD SUITE 279
-----------------------------------------------------
    City                 |    JACKSON
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39211
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    601-405-7440
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    41 MOSS FOREST CIR 
-----------------------------------------------------
    City                 |    JACKSON
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39211-2906
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    601-503-3259
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    P-1487
-----------------------------------------------------
    License Number State |    MS
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.