Organization
INTEGRATIVE PSYCHIATRY SERVICES PLLC
Active
Other names
Intellect Psychiatry Services PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETIENNE CLEMENT POUFONG (PMHNP)
(469) 321-9543
Entity
Organization
Contact information
Practice address
101 ELLIOTT AVE W STE 500, SEATTLE, WA 98119-4292
(469) 321-9543
(682) 227-2030
Mailing address
708 CLEMENT DR, CEDAR HILL, TX 75104-7352
(469) 321-9543
(682) 227-2030
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
05/03/2026
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