National Provider Identifier Database

LIST PSYCHOLOGICAL SERVICES PLC
Mental Health (Including Community Mental Health Center)


Contact Information

LIST PSYCHOLOGICAL SERVICES, PLC
110 E HURON AVE
BAD AXE, MI48413-1312
Phone: 989-672-6160
Fax: 989-672-5649
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Addiction (Substance Use Disorder) 101YA0400X
Addiction Psychiatry 2084P0802X
Clinical 103TC0700X
Clinical 1041C0700X
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X
Professional 101YP2500X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for LIST PSYCHOLOGICAL SERVICES, PLC

NPI Number 1154894673
Legal business name
LBN
LIST PSYCHOLOGICAL SERVICES, PLC
Authorized official CARIN MONTEI - (CONTRACT SUPERVISOR)
Entity Organization
Organization subpart Yes
Enumeration date 01/08/2019
Last updated 01/08/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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