Jane Domke, Phd

LBN: Jcmg Mental Health, L.L.C.
Jane Domke, Phd is an health care organization with primary practice located at 701 W High St Room 14, Jefferson City MO 65101-1525. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty. Jcmg Mental Health, L.L.C. can be contacted via phone (573) 636-3313, or through Craighead, Michael via phone (573) 556-7776.

Contact Information

Primary practice address
701 W High St Room 14 Jefferson City MO 65101-1525
Phone: (573) 636-3313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Craighead, Michael Doctor of Medicine (MD)
Phone: (573) 556-7776

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1922163781
LBN Legal business name Jcmg Mental Health, L.L.C.
DBA Doing business as Jane Domke, Phd
Authorized official Craighead, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Nov 29th, 2007 - about 17 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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