# INTEGRATED THERAPIES CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205663580
- **Authorized official:** BROOKE MIZE LCMHC (MEMBER/ORGANIZER)
- **Authorized official phone:** (336) 344-1594

## Contact information

- **Practice address:** 612 BUSINESS PARK DR STE D, EDEN, NC 27288-6461
- **Practice address phone:** (336) 344-1594
- **Mailing address:** 408 ROBERTS RD, EDEN, NC 27288-7645
- **Mailing address phone:** (336) 344-1594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2024
- **Last updated:** 09/18/2026