Organization
INTEGRATED CARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR O OKORIE LPC (CHIEF CLINICAL OFFICER)
(602) 441-2388
Entity
Organization
Contact information
Practice address
10000 N 31ST AVE, SUITE C218, PHOENIX, AZ 85051-9582
(602) 441-2388
(602) 595-2511
Mailing address
10000 N 31ST AVE, SUITE C218, PHOENIX, AZ 85051-9582
(602) 441-2388
(602) 595-2511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-15037
AZ
101YM0800X
Mental Health Counselor
LCSW-10962
AZ
101YP2500X
Professional Counselor
Primary
LPC-13418
AZ
103T00000X
Psychologist
1076
AZ
104100000X
Social Worker
LCSW-10962
AZ
1041C0700X
Clinical Social Worker
LCSW-10962
AZ
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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