# INTEGRATED MENTAL HEALTH CLINIC

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

## Provider details

- **NPI number:** 1992689996
- **Authorized official:** HENRY JIMENEZ (OWNER)
- **Authorized official phone:** (202) 352-1553

## Contact information

- **Practice address:** 950 N WASHINGTON ST FL 3, ALEXANDRIA, VA 22314-2398
- **Practice address phone:** (703) 570-5657
- **Practice address fax:** (703) 570-5661
- **Mailing address:** 4014 DIAMONDHEAD AVE, BOWIE, MD 20721-1308
- **Mailing address phone:** (202) 352-1553

## 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:** 08/04/2025
- **Last updated:** 08/04/2025