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INTEGRATIVE MENTAL HEALTH SERVICES LLC NPI 1275025314


NPI Information

NPI: 1275025314
Provider Name: INTEGRATIVE MENTAL HEALTH SERVICES LLC

Other Name: INTEGRATIVE COUNSELING CENTER (ICC)

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
11811 N TATUM BLVD STE 3031
PHOENIX, AZ
ZIP 85028
Phone: (773) 706-8981
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INTEGRATIVE MENTAL HEALTH SERVICES LLC is a mental health counselor in Phoenix, AZ. INTEGRATIVE MENTAL HEALTH SERVICES LLC NPI is 1275025314. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Integrative Counseling Center (icc).

The provider's business location address is:

11811 N TATUM BLVD STE 3031
PHOENIX, AZ
ZIP 85028-621
Phone: (773) 706-8981

The provider's authorized official is Daniel Levi .
The authorized official title is Owner, Clinical Director and has the following contact phone number (773) 706-8981.

The enumeration date for this NPI number is 6/5/2018 and was last updated on 2/9/2023.


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
1101YP2500XCounselorProfessional180.010511No
2101YP2500XCounselorProfessionalNo
3101YM0800XCounselorMental HealthYes

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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