Organization
INTEGRAL LIFE SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ROSS SCOTT LCSW (PRESIDENT)
(702) 336-2428
Entity
Organization
Contact information
Practice address
2580 MONTESSOURI ST, SUITE 101, LAS VEGAS, NV 89117-3066
(702) 947-4749
(702) 256-2295
Mailing address
11732 FEINBERG PL, LAS VEGAS, NV 89138-1561
(702) 336-2428
(702) 562-2428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4910-C
NV
1041C0700X
Clinical Social Worker
LCS17690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184633349
INDIVIDUAL NPI AS AN LCSW
NV
Enumeration date
08/25/2006
Last updated
08/22/2020
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