Provider Demographics
NPI:1023367570
Name:INTEGRAPY, INC.
Entity Type:Organization
Organization Name:INTEGRAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURYN
Authorized Official - Middle Name:SALASSI
Authorized Official - Last Name:GILLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:305-725-0070
Mailing Address - Street 1:120 3RD AVE S
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2511
Mailing Address - Country:US
Mailing Address - Phone:305-725-0070
Mailing Address - Fax:
Practice Address - Street 1:1119 KIRKWOOD DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8662
Practice Address - Country:US
Practice Address - Phone:305-502-7559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2562106H00000X
TNLMT 1086261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty