Provider Demographics
NPI:1144757402
Name:DR JAMIE KING THE CTR FOR PSYCHOLOGICAL SVC & LIFE COACH, LLC
Entity Type:Organization
Organization Name:DR JAMIE KING THE CTR FOR PSYCHOLOGICAL SVC & LIFE COACH, LLC
Other - Org Name:THE CENTER FOR PSYCHOLOGICAL SERVICES & LIFE COACHING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-221-6394
Mailing Address - Street 1:1275 S MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5385
Mailing Address - Country:US
Mailing Address - Phone:724-221-6394
Mailing Address - Fax:724-420-5593
Practice Address - Street 1:1275 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5385
Practice Address - Country:US
Practice Address - Phone:724-221-6394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-17
Last Update Date:2023-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017392103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty