KRUEGER INTEGRATIVE CARE LLC NPI 1174180822

NPI Information

NPI: 1174180822
Provider Name: KRUEGER INTEGRATIVE CARE, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4893 PRINCE WILLIAM PKWY
WOODBRIDGE, VA
ZIP 22192
Phone: (850) 565-9710
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KRUEGER INTEGRATIVE CARE, LLC is an adult mental health clinic center in Woodbridge, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. KRUEGER INTEGRATIVE CARE, LLC NPI is 1174180822. The provider is registered as an organization entity type.

The provider's business location address is:

4893 PRINCE WILLIAM PKWY
WOODBRIDGE, VA
ZIP 22192-403
Phone: (850) 565-9710

The provider's authorized official is Tonice Krueger .
The authorized official title is Licenced Psychologist, Director and has the following contact phone number (619) 865-9399.

The enumeration date for this NPI number is 5/28/2019 and was last updated on 5/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1184949398	OTHER		NPI 1

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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