C Jesse Carlock Ph D & Associates

LBN: C Jesse Carlock Ph D & Associates
C Jesse Carlock Ph D & Associates is an health care organization with primary practice located at 1105 Watervliet Ave , Dayton OH 45420. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. C Jesse Carlock Ph D & Associates can be contacted via phone (937) 256-0500, or through Carlock, Charlene Jesse via phone (937) 256-0500.

Contact Information

Primary practice address
1105 Watervliet Ave Dayton OH 45420
Phone: (937) 256-0500
Fax: (937) 256-2136
Website:
Map and Directions
Authorized official contact:
Name: Carlock, Charlene Jesse PHD
Phone: (937) 256-0500

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1801994199
LBN Legal business name C Jesse Carlock Ph D & Associates
DBA Doing business as
Authorized official Carlock, Charlene Jesse PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 13th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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