Organization
INTEGRATIVE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL ROMERO PSYD (PRESIDENT/OWNER)
(854) 205-6386
Entity
Organization
Contact information
Practice address
1225 SHARPESTOWNE CT, MOUNT PLEASANT, SC 29466-7564
(854) 205-6386
Mailing address
3022 S MORGANS PT RD # 149, MOUNT PLEASANT, SC 29466-7189
(854) 205-6386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
Other
Enumeration date
05/05/2023
Last updated
10/12/2023
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