Provider Demographics
NPI:1073024493
Name:INTEGRAL INSIGHTS COUNSELING, LLC
Entity Type:Organization
Organization Name:INTEGRAL INSIGHTS COUNSELING, LLC
Other - Org Name:INTEGRAL INSIGHTS COUNSELING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC, CHT
Authorized Official - Phone:513-283-0004
Mailing Address - Street 1:1329 E KEMPER RD STE 4212B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-5100
Mailing Address - Country:US
Mailing Address - Phone:513-283-0004
Mailing Address - Fax:513-832-0499
Practice Address - Street 1:1329 E KEMPER RD STE 4212B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-5100
Practice Address - Country:US
Practice Address - Phone:513-283-0004
Practice Address - Fax:513-832-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0602262101YM0800X
OHI17000311041C0700X
OH350577022084P0800X
2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty