Providence Psychiatric Services Pllc

LBN: Providence Psychiatric Services Pllc
Providence Psychiatric Services Pllc is an health care organization with primary practice located at 86 Timber Creek Dr Ste 3 , Cordova TN 38018-4284. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Providence Psychiatric Services Pllc can be contacted via phone (901) 881-1500, or through Liusong, Jason Fu via phone (901) 881-1500.

Contact Information

Primary practice address
86 Timber Creek Dr Ste 3 Cordova TN 38018-4284
Fax:
Website:
Authorized official contact:
Name: Liusong, Jason Fu Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1952913345
LBN Legal business name Providence Psychiatric Services Pllc
DBA Doing business as
Authorized official Liusong, Jason Fu Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2020
Last updated Sep 30th, 2020 - about 4 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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