# INTEGRATED INTERVENTION SPECIALISTS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTEGRATED INTERVENTION SPECIALISTS, LLC
- **Other names:** Full Circle Pediatric Solutions
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619541596
- **Legal business name:** INTEGRATED INTERVENTION SPECIALISTS, LLC
- **Authorized official:** RACHEL HAMAN (OWNER)
- **Authorized official phone:** (701) 799-2045

## Contact information

- **Practice address:** 4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
- **Practice address phone:** (701) 478-0221
- **Practice address fax:** (701) 478-0222
- **Mailing address:** 4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
- **Mailing address phone:** (701) 478-0221
- **Mailing address fax:** (701) 478-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2021
- **Last updated:** 05/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1479549 | — | ND |