# INTEGRATIVE THERAPEUTIC COUNSELING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Therapeutic Counseling Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366911919
- **Authorized official:** MS. SHEENA ILEAN HASTY LCASA-23287 (CEO)
- **Authorized official phone:** (540) 320-2859

## Contact information

- **Practice address:** 1101 TYVOLA RD STE 218, CHARLOTTE, NC 28217-3515
- **Practice address phone:** (540) 320-2859
- **Mailing address:** 607 PINE TREE ES DR, SALISBURY, NC 28144-0517
- **Mailing address phone:** (540) 320-2859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/13/2018
- **Last updated:** 11/13/2018