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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 Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Marriage & Family Therapist

106H00000X
 

Professional

101YP2500X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for LIST PSYCHOLOGICAL SERVICES, PLC

NPI # 1154894673
LBN Legal business name LIST PSYCHOLOGICAL SERVICES, PLC
Authorized official CARIN MONTEI - (CONTRACT SUPERVISOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/08/2019
Last updated 01/08/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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