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Organization
INTEGRITY FAMILY AND MENTAL HEALTH
Active
Organization
INTEGRITY FAMILY AND MENTAL HEALTH
Active
Other names
Medivive
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON MACHELLE SMITH NP (OWNER)
(704) 451-1084
Entity
Organization
Contact information
Practice address
13 PALAFOX PL STE 200, PENSACOLA, FL 32502-5638
(704) 451-1084
Mailing address
14458 COUNTY ROAD 54, LOXLEY, AL 36551-8431
(704) 451-1084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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