LIST PSYCHOLOGICAL SERVICES PLC NPI 1154894673

NPI Information

NPI: 1154894673
Provider Name: LIST PSYCHOLOGICAL SERVICES, PLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
CLIA Number: 23D2187418
Address: 110 E HURON AVE
BAD AXE, MI
ZIP 48413
Phone: (989) 672-6160

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NPI Details

LIST PSYCHOLOGICAL SERVICES, PLC is a mental health (including community mental health center) clinic center in Bad Axe, MI. LIST PSYCHOLOGICAL SERVICES, PLC NPI is 1154894673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 E HURON AVE
BAD AXE, MI
ZIP 48413-312
Phone: (989) 672-6160
Fax: (989) 672-5649

The provider's authorized official is Carin Ann Montei .
The authorized official title is Contract Supervisor and has the following contact phone number (989) 672-6160.

The CLIA number assigned to this NPI record is 23D2187418 - other - outpatient substance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2019 and was last updated on 1/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YP2500X	Counselor	Professional	No
4	103TC0700X	Psychologist	Clinical	No
5	1041C0700X	Social Worker	Clinical	No
6	106H00000X	Marriage & Family Therapist		No
7	2084P0800X	Psychiatry & Neurology	Psychiatry	No
8	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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