INTEGRATIVE PSYCHOTHERAPY LLC NPI 1669247821

NPI Information

  • NPI: 1669247821
  • Provider Name: INTEGRATIVE PSYCHOTHERAPY LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1421 N SPORT OF KINGS CT
    WICHITA, KS
    ZIP 67230
  • Phone: (316) 251-0896

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NPI Details

INTEGRATIVE PSYCHOTHERAPY LLC is an adult mental health clinic center in Wichita, KS. 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 PSYCHOTHERAPY LLC NPI is 1669247821. The provider is registered as an organization entity type.

The provider's business location address is:

1421 N SPORT OF KINGS CT
WICHITA, KS
ZIP 67230-152
Phone: (316) 251-0896

The provider's authorized official is Jessica Anne Boulware .
The authorized official title is Owner and has the following contact phone number (316) 214-8599.

The enumeration date for this NPI number is 11/17/2023 and was last updated on 11/17/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental 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: 3/30/2025

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