Organization
JACKSON COUNTY PSYCHOLOGICAL SERVICES PA
Active
Other names
Haywood County Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE DOUTHIT (BILLING SUPERVISOR)
(828) 586-2311
Entity
Organization
Contact information
Practice address
98D COPE CREEK RD, SYLVA, NC 28779-9508
(828) 586-2311
(828) 586-5450
Mailing address
PO BOX 728, SYLVA, NC 28779-0728
(828) 586-2311
(828) 586-5450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017UF
BCBS PROVIDER #
NC
05
—
6005078
—
NC
05
—
8300532
—
NC
05
—
8302150
—
NC
Enumeration date
01/02/2007
Last updated
08/18/2010
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