Professional Therapy Center

LBN: Jcmg Mental Health Clinic Llc
Professional Therapy Center is an health care organization with primary practice located at 1303 Edgewood Dr , Jefferson City MO 65109-1943. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Jcmg Mental Health Clinic Llc can be contacted via phone (573) 634-5400, or through Patrick, Jeffrey Lee via phone (573) 635-5264.

Contact Information

Primary practice address
1303 Edgewood Dr Jefferson City MO 65109-1943
Phone: (573) 634-5400
Fax: (573) 636-2639
Website:
Map and Directions
Authorized official contact:
Name: Patrick, Jeffrey Lee Doctor of Medicine (MD)
Phone: (573) 635-5264

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1801951306
LBN Legal business name Jcmg Mental Health Clinic Llc
DBA Doing business as Professional Therapy Center
Authorized official Patrick, Jeffrey Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Aug 30th, 2023 - about 2 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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