| Organization Name: | PSYLIN, INC. |
| NPI Number: | 1265735294 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER CARLIN (PRESIDENT) |
| Mailing Address: | 101 N Commercial St Nevada |
| State: | MO US |
| Postal Code: | 647722607 |
| Phone Number: | 4173214881 |
| Fax Number: | 8662234072 |
| NPI Enumeration Date: | 12/14/2010 |
| NPI Last Update Date: | 05/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2001014377 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |