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Organization
INTEGRATED BEHAVIORAL AND PRIMARY CARE LLC
Active
Organization
INTEGRATED BEHAVIORAL AND PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA ALANA LITVAK CNP (DIRECTOR)
(440) 781-5205
Entity
Organization
Contact information
Practice address
23850 COMMERCE PARK, BEACHWOOD, OH 44122-5829
(440) 781-5205
(440) 568-5003
Mailing address
23850 COMMERCE PARK, BEACHWOOD, OH 44122-5829
(440) 781-5205
(440) 568-5003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392833
—
OH
Enumeration date
12/12/2019
Last updated
06/08/2023
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