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Organization
INTEGRATIVE MENTAL HEALTH SERVICES LLC
Active
Organization
INTEGRATIVE MENTAL HEALTH SERVICES LLC
Active
Other names
The Integrative Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEVI LCPC, LPC (OWNER, CLINICAL DIRECTOR)
(602) 492-1706
Entity
Organization
Contact information
Practice address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 492-1706
Mailing address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 492-1706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
180.010511
NULL
101YP2500X
Professional Counselor
180.010511
—
Other
Enumeration date
06/05/2018
Last updated
12/31/2024
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