Organization
PRIORITY HEALTH CARE
Active
Other names
Marrero Site
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA BOUTTE DIOUBATE MSW, MSHCM (CEO)
(504) 309-6522
Entity
Organization
Contact information
Practice address
4700 WICHERS DR # 304-305, MARRERO, LA 70072-3041
(504) 309-3262
(504) 309-9307
Mailing address
4700 WICHERS DR STE 306, MARRERO, LA 70072-3054
(504) 309-6522
(504) 309-6084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2407627
—
LA
Enumeration date
05/24/2012
Last updated
09/02/2025
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