Provider Demographics
NPI:1326591165
Name:PSYCHOLOGICAL MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:PSYCHOLOGICAL MANAGEMENT SERVICES
Other - Org Name:PSYCHOLOGICAL MANAGEMENT SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:PINCKNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-321-6927
Mailing Address - Street 1:9159 SNOW HILL CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-6123
Mailing Address - Country:US
Mailing Address - Phone:704-231-6927
Mailing Address - Fax:
Practice Address - Street 1:9159 SNOW HILL CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-6123
Practice Address - Country:US
Practice Address - Phone:704-231-6927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage