Provider Demographics
NPI:1720591365
Name:THINK PSYCHOLOGICAL AND CONSULTING SERVICES PLLC
Entity Type:Organization
Organization Name:THINK PSYCHOLOGICAL AND CONSULTING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-584-9242
Mailing Address - Street 1:2632 S 83RD AVE STE 100-481
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-7206
Mailing Address - Country:US
Mailing Address - Phone:480-584-9242
Mailing Address - Fax:
Practice Address - Street 1:2632 S 83RD AVE STE 100-481
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-7206
Practice Address - Country:US
Practice Address - Phone:480-584-9242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty