Provider Demographics
NPI:1124050240
Name:PSYCHIATRIC & PSYCHOLOGICAL SVCS
Entity type:Organization
Organization Name:PSYCHIATRIC & PSYCHOLOGICAL SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PSYCHIATRIC & PSYCHOLOGICA
Authorized Official - Prefix:MS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN-POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS LICENSED MENTAL H
Authorized Official - Phone:863-680-1950
Mailing Address - Street 1:930 ALICIA RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-2104
Mailing Address - Country:US
Mailing Address - Phone:863-680-1950
Mailing Address - Fax:863-683-4654
Practice Address - Street 1:930 ALICIA RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-2104
Practice Address - Country:US
Practice Address - Phone:863-680-1950
Practice Address - Fax:863-683-4654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty