Provider Demographics
NPI:1740226547
Name:PREMIER PSYCH SERVICES LLC
Entity Type:Organization
Organization Name:PREMIER PSYCH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PESKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-521-7575
Mailing Address - Street 1:3730 KIRBY DR
Mailing Address - Street 2:SUITE 800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3905
Mailing Address - Country:US
Mailing Address - Phone:713-521-7575
Mailing Address - Fax:713-521-7576
Practice Address - Street 1:3730 KIRBY DR
Practice Address - Street 2:SUITE 800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3905
Practice Address - Country:US
Practice Address - Phone:713-521-7575
Practice Address - Fax:713-521-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty