INTEGRO LLC NPI 1942488234

NPI Information

NPI: 1942488234
Provider Name: INTEGRO, LLC
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
Address: 1200 N WEST AVE
STE 300
JACKSON, MI
ZIP 49202
Phone: (517) 789-1234

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NPI Details

INTEGRO, LLC is a mental health counselor in Jackson, MI. INTEGRO, LLC NPI is 1942488234. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 N WEST AVE
STE 300
JACKSON, MI
ZIP 49202-179
Phone: (517) 789-1234
Fax: (517) 784-7040

The provider's authorized official is Tracy Roumell .
The authorized official title is Executive Director and has the following contact phone number (517) 789-1234.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/8/2008.

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	101YM0800X	Counselor	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	P10C810520	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

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: 11/21/2025

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