MEDICARE: ANCHOR COMMUNITY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	251B00000X	Case Management Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	251S00000X	Community/Behavioral Health Agency	LA

General Provider Information

NPI Number	:	1215350582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR COMMUNITY SERVICES, LLC

Provider Business Mailing Address
First Line	:	9111 INTERLINE AVE STE 17A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-1979
Country	:	US
Telephone Number	:	225-615-7282
Fax Number	:	225-615-7469

Provider Business Practice Location Address
First Line	:	9111 INTERLINE AVE STE 17A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-1979
Country	:	US
Telephone Number	:	225-615-7282
Fax Number	:	225-615-7469

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	MRS. TIA BROWN BONDS
Credential	:	BSW,MBA
Telephone Number	:	225-205-1820

Provider Enumeration Date	:	01/22/2014
Last Update Date	:	08/07/2024

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