# INTEGRATIVE MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Integrative Counseling Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275025314
- **Authorized official:** DANIEL LEVI LCPC, LPC (OWNER, CLINICAL DIRECTOR)
- **Authorized official phone:** (602) 492-1706

## Contact information

- **Practice address:** 11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
- **Practice address phone:** (602) 492-1706
- **Mailing address:** 11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
- **Mailing address phone:** (602) 492-1706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | 180.010511 | NULL | — |
| 101YP2500X | Professional Counselor | 180.010511 | — | — |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 12/31/2024