417 Psych, Llc

LBN: 417 Psych, Llc
417 Psych, Llc is an health care organization with primary practice located at 1911 S National Ave Ste 401 , Springfield MO 65804-2213. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. 417 Psych, Llc can be contacted via phone (417) 413-1724, or through Roldan, Rachael Herrington via phone (417) 413-1724.

Contact Information

Primary practice address
1911 S National Ave Ste 401 Springfield MO 65804-2213
Phone: (417) 413-1724
Fax: (417) 313-0722
Website:
Map and Directions
Authorized official contact:
Name: Roldan, Rachael Herrington PH.D.
Phone: (417) 413-1724

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1699653022
LBN Legal business name 417 Psych, Llc
DBA Doing business as
Authorized official Roldan, Rachael Herrington PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2025
Last updated Aug 25th, 2025 - about last year

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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