Organization
PREMIER THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE LA MAR L.P.C. (OWNER)
(573) 443-4038
Entity
Organization
Contact information
Practice address
2100 E. BROADWAY, SUITE 206, COLUMBIA, MO 65201-6082
(573) 443-4038
(573) 657-1125
Mailing address
2001 WINCHESTER DRIVE, COLUMBIA, MO 65202-3170
(573) 443-4038
(573) 657-1125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000723
MO
101YM0800X
Mental Health Counselor
000750
MO
103T00000X
Psychologist
2004024724
MO
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/03/2024
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