LIST PSYCHOLOGICAL SERVICES, PLC; NPI #1265685903

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	Specialty Code	Provider Type
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Addiction (Substance Use Disorder)	101YA0400X
Clinical	103TC0700X	62	Psychologist, Clinical
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Counselor	101Y00000X
Mental Health	101YM0800X
Psychiatry	2084P0800X	26	Physician/Psychiatry
Psychologist	103T00000X	62	Psychologist, Clinical
Social Worker	104100000X

Indicates primary specialty

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NPI Profile & details for LIST PSYCHOLOGICAL SERVICES, PLC

NPI Number 1265685903

LBN Legal business name LIST PSYCHOLOGICAL SERVICES, PLC

Authorized official JACQUELINE THOMPSON - (COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/28/2008

Last updated 12/27/2016 - About 9 years ago

Identifiers

MI	License #	SA0790042
MI	Other	034530	VALUE OPTION

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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LIST PSYCHOLOGICAL SERVICES, PLC

Contact Information

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NPI Profile & details for LIST PSYCHOLOGICAL SERVICES, PLC

Reviews for LIST PSYCHOLOGICAL SERVICES, PLC