INTEGRATED THERAPEUTIC SOLUTIONS LLC NPI 1992178230

NPI Information

NPI: 1992178230
Provider Name: INTEGRATED THERAPEUTIC SOLUTIONS, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2450 ATLANTA HWY
UNIT 1403
CUMMING, GA
ZIP 30040
Phone: (678) 722-1031
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INTEGRATED THERAPEUTIC SOLUTIONS, LLC is a professional counselor in Cumming, GA. INTEGRATED THERAPEUTIC SOLUTIONS, LLC NPI is 1992178230. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2450 ATLANTA HWY
UNIT 1403
CUMMING, GA
ZIP 30040-099
Phone: (678) 722-1031
Fax: (678) 909-0441

The provider's authorized official is Annaleigha Moriarty .
The authorized official title is Owner/clinical Supervisor and has the following contact phone number (678) 722-1031.

The enumeration date for this NPI number is 11/9/2015 and was last updated on 11/9/2015.

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	8573	FLORIDA	No
2	101YP2500X	Counselor	Professional	5279	GEORGIA	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	966506735A	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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