National Provider Identifier Database

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

Contact Information

LIST PSYCHOLOGICAL SERVICES, PLC
467 N STATE ST
CARO, MI  48723-1539
Phone: 989-672-2016
Fax: 989-672-2017
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Addiction (Substance Use Disorder) 101YA0400X
Clinical 103TC0700X
Clinical 1041C0700X
Counselor 101Y00000X
Mental Health 101YM0800X
Psychiatry 2084P0800X
Psychologist 103T00000X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for LIST PSYCHOLOGICAL SERVICES, PLC

NPI Number 1265685903
Legal business name
LBN		 LIST PSYCHOLOGICAL SERVICES, PLC
Authorized official JACQUELINE THOMPSON - (COO)
Entity Organization
Organization subpart No
Enumeration date 10/28/2008
Last updated 12/27/2016 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: SA0790042
  • MI Other: 034530 VALUE OPTION

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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