Provider Demographics
NPI:1043099450
Name:INTEGRATIVE PSYCHOLOGICAL CARE PLC
Entity Type:Organization
Organization Name:INTEGRATIVE PSYCHOLOGICAL CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAD-YOUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:313-467-4653
Mailing Address - Street 1:30851 BRISTOL LN
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4618
Mailing Address - Country:US
Mailing Address - Phone:313-467-4653
Mailing Address - Fax:
Practice Address - Street 1:5808 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2255
Practice Address - Country:US
Practice Address - Phone:313-467-4653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty