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Organization
INTEGRATIVE CARE PRACTITIONERS, LLC
Active
Organization
INTEGRATIVE CARE PRACTITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA BENTON LCSW (OWNER)
(724) 201-4808
Entity
Organization
Contact information
Practice address
109 ADAMS LN, PORTERSVILLE, PA 16051
(724) 201-4808
(724) 220-4505
Mailing address
109 ADAMS LN, PORTERSVILLE, PA 16051
(724) 201-4808
(724) 220-4505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
10/03/2025
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