List Psychological Services, Plc

NPI #1942581285 in Pigeon, Michigan

Provider Information

NPI Number: 1942581285
Entity Type: Organization
Organization Name: List Psychological Services, Plc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 31, 2011
Last Updated: Aug 19, 2015

Practice Location

Address: 7484 W MICHIGAN AVE
Address 2: SUITE C
City: Pigeon
State: Michigan
ZIP Code: 48755-5200
Phone: (989) 453-3051

Authorized Official

Name: JACQUELINE THOMPSON
Title: COO
Phone: (989) 672-6160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Psychologist - Clinical — Clinical	103TC0700X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X
Psychiatry & Neurology - Addiction Medicine — Addiction Medicine	2084A0401X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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