National Provider Identifier Database

LIST PSYCHOLOGICAL SERVICES
Addiction (Substance Use Disorder)


Contact Information

LIST PSYCHOLOGICAL SERVICES
1600 N MICHIGAN AVE
ROOM 506
SAGINAW, MI48602-5306
Phone: 989-758-3720
Fax: 989-758-3760
Website:
Specialty Taxonomy Code
* Addiction (Substance Use Disorder) 101YA0400X
Clinical 103TC0700X
Clinical 1041C0700X
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X
Mental Health 101YM0800X
Professional 101YP2500X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for LIST PSYCHOLOGICAL SERVICES

NPI Number 1124357488
Legal business name
LBN
LIST PSYCHOLOGICAL SERVICES
Authorized official DIANE LIST - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 12/16/2009
Last updated 12/16/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 034530 VALUE OPTIONS

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.

Reviews for LIST PSYCHOLOGICAL SERVICES

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