| Premier Community Services, Llc | |
|
1001 W Pinhook Rd Ste 301 Lafayette LA 70503-2448 | |
| (337) 269-8990 | |
| Not Available |
| Full Name | Premier Community Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 W Pinhook Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Virginia Collins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2259330142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Community Services, Llc Po Box 1009 Baldwin LA 70514-1009 Ph: (337) 269-8990 | Premier Community Services, Llc 1001 W Pinhook Rd Ste 301 Lafayette LA 70503-2448 Ph: (337) 269-8990 |
| NPI Number | 1972932705 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972932705 | NPI | - | NPPES |
| 1800741 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15479 (Louisiana) | Primary |
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