Diversified Psychological Services

LBN: Diversified Psychological Services
Diversified Psychological Services is an health care organization with primary practice located at 1508 W Fairmont St Suite C, Longview TX 75604-6303. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Diversified Psychological Services can be contacted via phone (903) 238-9553, or through Knowles, Steve C via phone (903) 238-9553.

Contact Information

Primary practice address
1508 W Fairmont St Suite C Longview TX 75604-6303
Phone: (903) 238-9553
Fax: (903) 291-8709
Website:
Map and Directions
Authorized official contact:
Name: Knowles, Steve C
Phone: (903) 238-9553

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1043431489
LBN Legal business name Diversified Psychological Services
DBA Doing business as
Authorized official Knowles, Steve C
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Sep 24th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043431489 NPPES
Texas Other 00145N BLUE CROSS BLUE SHIELD
Texas MEDICAID 079990001 BLUE CROSS BLUE SHIELD

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