Psi Services Iii, Inc.

LBN: Psi Services Iii, Inc.
Psi Services Iii, Inc. is an health care organization with primary practice located at 3890 Dunn Ave Suite 1104, Jacksonville FL 32218-6428. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Psi Services Iii, Inc. can be contacted via phone (904) 723-6049, or through Wallace, Ricky via phone (904) 723-6049.

Contact Information

Primary practice address
3890 Dunn Ave Suite 1104 Jacksonville FL 32218-6428
Phone: (904) 723-6049
Fax: (904) 723-5094
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Ricky
Phone: (904) 723-6049

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X F001 Florida
Agencies / Community/Behavioral Health 251S00000X Florida

Profile Details

NPI number 1013113554
LBN Legal business name Psi Services Iii, Inc.
DBA Doing business as
Authorized official Wallace, Ricky
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2007
Last updated Jul 21st, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013113554 NPPES
Florida MEDICAID 686933596
Florida MEDICAID 76505 1500

Popular Providers