Provider Demographics
NPI:1124692405
Name:PSYCHOLOGY SOLUTIONS, LLC
Entity type:Organization
Organization Name:PSYCHOLOGY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:GRIMES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:907-715-8175
Mailing Address - Street 1:6450 E VERBONCOEUR DR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-4550
Mailing Address - Country:US
Mailing Address - Phone:907-715-8175
Mailing Address - Fax:855-702-2532
Practice Address - Street 1:642 S ALASKA ST STE 220
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6378
Practice Address - Country:US
Practice Address - Phone:907-331-0220
Practice Address - Fax:855-702-2532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health