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INTEGRATIVE THERAPEUTIC SERVICES NPI 1275020554


NPI Information

NPI: 1275020554
Provider Name: INTEGRATIVE THERAPEUTIC SERVICES
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1209 PARKWAY
AUSTIN, TX
ZIP 78703
Phone: (310) 497-6176
Get Directions

INTEGRATIVE THERAPEUTIC SERVICES is a clinical social worker in Austin, TX. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. INTEGRATIVE THERAPEUTIC SERVICES NPI is 1275020554. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1209 PARKWAY
AUSTIN, TX
ZIP 78703-132
Phone: (310) 497-6176

The provider's authorized official is Brenda Lee Gauthier .
The authorized official title is Owner and has the following contact phone number (310) 497-6176.

The enumeration date for this NPI number is 4/22/2018 and was last updated on 6/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health55232TEXASNo
2101YA0400XCounselorAddiction (Substance Use Disorder)11589TEXASNo
31041C0700XSocial WorkerClinical55232TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11851761613OTHERTEXASTYPE I NPI

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: 4/28/2024

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