# THERAPEUTIC INTEGRATED MEDICAL CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THERAPEUTIC INTEGRATED MEDICAL CARE, INC
- **Other names:** TIMCare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689204166
- **Legal business name:** THERAPEUTIC INTEGRATED MEDICAL CARE, INC
- **Authorized official:** GENEVE RODRIGUEZ (ADMINISTRATOR)
- **Authorized official phone:** (702) 617-6313

## Contact information

- **Practice address:** 916 W OWENS AVE, LAS VEGAS, NV 89106-2516
- **Practice address phone:** (702) 617-6313
- **Practice address fax:** (702) 901-7224
- **Mailing address:** PO BOX 71526, LAS VEGAS, NV 89170-1526
- **Mailing address phone:** (702) 617-6313
- **Mailing address fax:** (702) 901-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/23/2020
- **Last updated:** 01/23/2020
