Healthcare Provider Details

I. General information

NPI: 1437363801
Provider Name (Legal Business Name): PREMIER COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 STERLING RD STE 1
FRANKLIN LA
70538-3861
US

IV. Provider business mailing address

PO BOX 1009
BALDWIN LA
70514-1009
US

V. Phone/Fax

Practice location:
  • Phone: 337-829-1010
  • Fax: 337-829-1011
Mailing address:
  • Phone: 337-923-0505
  • Fax: 337-923-0363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. VIRGINIA COLLIN
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW, LCSW
Phone: 337-923-0505