Organization
INTEGRITY LIFESKILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM NORMAN GEARY (CO OWNERS)
(573) 378-6768
Entity
Organization
Contact information
Practice address
BREMOND ST 506, VERSAILLES, MO 65084
(573) 378-6768
(573) 378-6768
Mailing address
PO BOX 232, VERSAILLES, MO 65084
(573) 378-6768
(573) 378-6768
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00571
AGENCY
MO
01
—
8001963
VENDOR
MO
Enumeration date
02/08/2007
Last updated
08/22/2020
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