1942722541 NPI number — THE RELATIONSHIP INSTITUTE, LLC

Table of content: (NPI 1942722541)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942722541 NPI number — THE RELATIONSHIP INSTITUTE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE RELATIONSHIP INSTITUTE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942722541
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 MCHUGH RD LOT 10
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ZACHARY
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70791-5358
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8755 SULLIVAN RD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70818-6031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-615-6059
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
SHANTELL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
225-301-5782

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  5250 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)