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Organization

PREMIER THERAPIES, LLC

Active
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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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