Provider Demographics
NPI:1215350582
Name:ANCHOR COMMUNITY SERVICES, LLC
Entity type:Organization
Organization Name:ANCHOR COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIA
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:BONDS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW,MBA
Authorized Official - Phone:225-205-1820
Mailing Address - Street 1:9111 INTERLINE AVE STE 17A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1979
Mailing Address - Country:US
Mailing Address - Phone:225-615-7282
Mailing Address - Fax:225-615-7469
Practice Address - Street 1:9111 INTERLINE AVE STE 17A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1979
Practice Address - Country:US
Practice Address - Phone:225-615-7282
Practice Address - Fax:225-615-7469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 261QM0801X
LA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)