Organization
INTEGRATIVE PSYCHIATRIC SOLUTIONS, LLC
Active
Other names
The Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES B MADDIX APRN, MSN, PMHNP-BC (PRESIDENT & OWNER)
(904) 877-1100
Entity
Organization
Contact information
Practice address
3547 HENDRICKS AVE, JACKSONVILLE, FL 32207-5309
(904) 877-1100
(904) 877-1200
Mailing address
3547 HENDRICKS AVE, JACKSONVILLE, FL 32207-5309
(904) 877-1100
(904) 877-1200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/08/2019
Last updated
07/17/2023
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