Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Micheal Jackson

Individual provider Mental Health Counselor · NPI 1629520614

Micheal Jackson is a Mental Health Counselor in Tallulah, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1705 Felicia Ave
Tallulah, LA 71282-8203
Phone: (318) 574-1232
Fax: (318) 574-8646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1629520614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 26, 2016
Last updated in NPPESOctober 26, 2016
Mailing address1705 Felicia Ave, Tallulah, LA 71282-8203

Other providers in Tallulah