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Organization

INTEGRATED WELLNESS BEHAVIORAL HEALTH PA

Active
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Organization

INTEGRATED WELLNESS BEHAVIORAL HEALTH PA

Active
Other names
Integrated Health PA
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY RET PMHNP (OWNER)
(850) 343-5602
Entity
Organization

Contact information

Practice address
1992 LEWIS TURNER BLVD STE 1171, FORT WALTON BEACH, FL 32547-1255
(850) 343-5602
Mailing address
1992 LEWIS TURNER BLVD STE 1171, FORT WALTON BEACH, FL 32547-1255

Taxonomy

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

Other

Enumeration date
08/07/2026
Last updated
08/07/2026
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