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Supporting Health Services Solution
NPI 1104314384 · Community/Behavioral Health Agency · Marshall, TX
Provider details
- NPI number
- 1104314384
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- James Maxie, Owner(318) 573-3942
Specialties & taxonomies
Agencies
Behavioral Health & Social Service Providers
- Case Management Agency251B00000X
Agencies
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 S Washington Ave
Marshall, TX 75670-6843
Phone: (346) 290-5508
Street-level locationGet directions
Mailing address
1840 Logan St
Shreveport, LA 71101-2316
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2022-05-31
- Certified
- 2022-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.