Provider Demographics
NPI:1942450648
Name:PSYCHOLOGICAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:PSYCHOLOGICAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LOVELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:515-277-6897
Mailing Address - Street 1:950 OFFICE PARK RD
Mailing Address - Street 2:SUITE 139
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2549
Mailing Address - Country:US
Mailing Address - Phone:515-277-6897
Mailing Address - Fax:515-223-8293
Practice Address - Street 1:950 OFFICE PARK RD
Practice Address - Street 2:SUITE 139
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2549
Practice Address - Country:US
Practice Address - Phone:515-277-6897
Practice Address - Fax:515-223-8293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00819103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty