Organization
INTEGRATED TMS LLC
Active
Organization
INTEGRATED TMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST JIM WOLVERTON (OWNER/DIRECTOR)
(435) 767-8840
Entity
Organization
Contact information
Practice address
1664 S DIXIE DR STE 102, BLD E, SAINT GEORGE, UT 84770-7327
(435) 767-8840
(435) 703-6003
Mailing address
1664 S DIXIE DR STE 102, BLD E, SAINT GEORGE, UT 84770-7327
(435) 767-8840
(435) 703-6003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730125956
—
UT
05
—
1972846384
—
UT
Enumeration date
06/23/2021
Last updated
06/28/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up