Organization
PREMIER INTEGRATIVE WELLNESS LLC
Active
Other names
Premier Integrative Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI RATLIFF APRN FNP-BC, PMHNP-B (NURSE PRACTITIONER/OWNER)
(318) 272-4180
Entity
Organization
Contact information
Practice address
839 KINGS HWY STE 125, SHREVEPORT, LA 71104-4258
(318) 272-4180
(318) 228-2054
Mailing address
839 KINGS HWY STE 125, SHREVEPORT, LA 71104-4258
(318) 272-4180
(318) 228-2054
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/20/2025
Last updated
08/21/2025
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