# INTEGRIS PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1821828419
- **Authorized official:** ALICE KOINANGE PMHNP-BC (OWNER)
- **Authorized official phone:** (410) 805-5825

## Contact information

- **Practice address:** 1112 N FLOYD RD STE 9, RICHARDSON, TX 75080-4243
- **Practice address phone:** (469) 369-2673
- **Mailing address:** 1112 N FLOYD RD STE 9, RICHARDSON, TX 75080-4243
- **Mailing address phone:** (469) 369-2673

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 04/04/2025
