Jasper Psychological Services, Pllc

LBN: Jasper Psychological Services, Pllc
Jasper Psychological Services, Pllc is an health care organization with primary practice located at 1107 Mint Street Suite 104, Charlotte NC 28203. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Group Psychotherapy, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Jasper Psychological Services, Pllc can be contacted via phone (980) 229-3788, or through Jasper, Kendell via phone (980) 229-3788.

Contact Information

Primary practice address
1107 Mint Street Suite 104 Charlotte NC 28203
Phone: (980) 229-3788
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jasper, Kendell PH.D.
Phone: (980) 229-3788

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1275880445
LBN Legal business name Jasper Psychological Services, Pllc
DBA Doing business as
Authorized official Jasper, Kendell PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2012
Last updated Aug 7th, 2012 - about 14 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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