Provider Demographics
NPI:1154595148
Name:KR ROBERTS & ASSOCIATES LLC
Entity type:Organization
Organization Name:KR ROBERTS & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARTINA
Authorized Official - Middle Name:DORETHA
Authorized Official - Last Name:JACKSON-ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-270-0044
Mailing Address - Street 1:428 CYPRESS DRIVE
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-3306
Mailing Address - Country:US
Mailing Address - Phone:225-270-0044
Mailing Address - Fax:225-775-9119
Practice Address - Street 1:428 CYPRESS DRIVE
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-3306
Practice Address - Country:US
Practice Address - Phone:225-270-0044
Practice Address - Fax:225-775-9119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KR ROBERTS & ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-21
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health