# INTEGOPSYCH DIAGNOSTICS AND TREATMENT

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

## Provider details

- **NPI number:** 1245100361
- **Authorized official:** DR. PAMELA TUNGATE (LCSW)
- **Authorized official phone:** (270) 789-8919

## Contact information

- **Practice address:** 34 TROTTER LN, CAMPBELLSVILLE, KY 42718-8959
- **Practice address phone:** (270) 789-8919
- **Mailing address:** 34 TROTTER LN, CAMPBELLSVILLE, KY 42718-8959
- **Mailing address phone:** (270) 789-8919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 11/05/2025