Provider Demographics
NPI:1043766009
Name:PREMIER MENTAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PREMIER MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:CALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-910-4168
Mailing Address - Street 1:PO BOX 311655
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35231-1655
Mailing Address - Country:US
Mailing Address - Phone:205-910-4168
Mailing Address - Fax:
Practice Address - Street 1:816 2ND ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35214-5312
Practice Address - Country:US
Practice Address - Phone:205-910-4168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2557251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health