INTEGRATIVE SOCIAL SERVICES LLC NPI 1326674003

NPI Information

NPI: 1326674003
Provider Name: INTEGRATIVE SOCIAL SERVICES LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2301 PARK AVE STE 205
ORANGE PARK, FL
ZIP 32073
Phone: (904) 592-7298
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INTEGRATIVE SOCIAL SERVICES LLC is an adult mental health clinic center in Orange Park, FL. 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. INTEGRATIVE SOCIAL SERVICES LLC NPI is 1326674003. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2301 PARK AVE STE 205
ORANGE PARK, FL
ZIP 32073-558
Phone: (904) 592-7298

The provider's authorized official is Thuydy Nguyen .
The authorized official title is Imft and has the following contact phone number (904) 834-1341.

The enumeration date for this NPI number is 3/13/2020 and was last updated on 3/13/2020.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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: 11/14/2023

NPI Synchronization or Removal

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