Healthcare Provider Details

I. General information

NPI: 1366818486
Provider Name (Legal Business Name): PREMIER MARKETING & CONSULTING INC.,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2015
Last Update Date: 08/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 ST. CHARLES ST RM 101/102
LECOMPTE LA
71346
US

IV. Provider business mailing address

PO BOX 111
LECOMPTE LA
71346-0111
US

V. Phone/Fax

Practice location:
  • Phone: 318-406-3044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MYRA E PARKER
Title or Position: DIRECTOR OF SERVICES
Credential: MBA
Phone: 318-406-3044