Provider Demographics
NPI:1275942088
Name:SAINT-LOUIS, MARGUERITE (BS)
Entity Type:Individual
Prefix:MISS
First Name:MARGUERITE
Middle Name:
Last Name:SAINT-LOUIS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 CITICO ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-5811
Mailing Address - Country:US
Mailing Address - Phone:865-522-0661
Mailing Address - Fax:865-522-3670
Practice Address - Street 1:412 CITICO ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-5811
Practice Address - Country:US
Practice Address - Phone:865-522-0661
Practice Address - Fax:865-522-3670
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)