PREMIER LEADERSHIP ACADEMY IN NPI 1396131108

NPI Information

PREMIER LEADERSHIP ACADEMY, IN is an addiction (substance use disorder) counselor in Huntsville, AL. PREMIER LEADERSHIP ACADEMY, IN NPI is 1396131108. The provider is registered as an organization entity type.

The provider's business location address is:

2049 MAX LUTHER DR NW
SUITE A
HUNTSVILLE, AL
ZIP 35810-801
Phone: (256) 288-3281
Fax: (256) 288-3283

The provider's authorized official is Kreslyn Nichole Kelley-ellis .
The authorized official title is President/ceo and has the following contact phone number (256) 288-3281.

The enumeration date for this NPI number is 4/8/2015 and was last updated on 4/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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