Provider Demographics
NPI:1720759095
Name:PEER4PEER
Entity Type:Organization
Organization Name:PEER4PEER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - CIT
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:CIT, CPSS
Authorized Official - Phone:225-276-6305
Mailing Address - Street 1:221 ANTRIM DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-0408
Mailing Address - Country:US
Mailing Address - Phone:225-276-6305
Mailing Address - Fax:
Practice Address - Street 1:221 ANTRIM DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-0408
Practice Address - Country:US
Practice Address - Phone:225-276-6305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health