Psychological Care Center

LBN: Psychological Care Center
Psychological Care Center is an health care organization with primary practice located at 308 W Monroe Ave , Jonesboro AR 72401-2741. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Psychological Care Center can be contacted via phone (870) 972-4770, or through Deroeck, George M via phone (870) 972-4770.

Contact Information

Primary practice address
308 W Monroe Ave Jonesboro AR 72401-2741
Phone: (870) 972-4770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deroeck, George M PSY.D.
Phone: (870) 972-4770

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1548398910
LBN Legal business name Psychological Care Center
DBA Doing business as
Authorized official Deroeck, George M PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548398910 NPPES
Arkansas Other E3022 ELECTRONIC SUBMITTER #

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