Provider Demographics
NPI:1437927100
Name:PREMIER BEHAVIORAL HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PREMIER BEHAVIORAL HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:INAUEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-910-8957
Mailing Address - Street 1:345 US HIGHWAY 9 STE 271
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3239
Mailing Address - Country:US
Mailing Address - Phone:908-910-8957
Mailing Address - Fax:
Practice Address - Street 1:345 US HIGHWAY 9 STE 271
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3239
Practice Address - Country:US
Practice Address - Phone:908-910-8957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health