# PREMIER INTEGRATIVE WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Integrative Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831076819
- **Authorized official:** BRANDI RATLIFF APRN FNP-BC, PMHNP-B (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (318) 272-4180

## Contact information

- **Practice address:** 839 KINGS HWY STE 125, SHREVEPORT, LA 71104-4258
- **Practice address phone:** (318) 272-4180
- **Practice address fax:** (318) 228-2054
- **Mailing address:** 839 KINGS HWY STE 125, SHREVEPORT, LA 71104-4258
- **Mailing address phone:** (318) 272-4180
- **Mailing address fax:** (318) 228-2054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/20/2025
- **Last updated:** 08/21/2025