# INTEGRATED PSYCHIATRIC CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639710965
- **Authorized official:** STEPHEN PERKEY (OWNER)
- **Authorized official phone:** (740) 861-1926

## Contact information

- **Practice address:** 402 C STREET, CEREDO, WV 25507
- **Practice address phone:** (740) 861-1926
- **Mailing address:** 401 ORCHARD DR, SOUTH POINT, OH 45680-8406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2019
- **Last updated:** 09/29/2020