Provider Demographics
NPI:1295346989
Name:NODE PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:NODE PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROLLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPA, NCSP
Authorized Official - Phone:704-997-9566
Mailing Address - Street 1:11381 OLDE CEDAR CT
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7731
Mailing Address - Country:US
Mailing Address - Phone:919-357-5454
Mailing Address - Fax:
Practice Address - Street 1:9820 NORTHCROSS CENTER CT STE 73
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7357
Practice Address - Country:US
Practice Address - Phone:704-997-9566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty