Provider Demographics
NPI:1164106738
Name:AMERICAN INTEGRATIVE HOLISTIC PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:AMERICAN INTEGRATIVE HOLISTIC PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOSHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMOAYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-483-9337
Mailing Address - Street 1:3 PEMBROKE CT
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-4203
Mailing Address - Country:US
Mailing Address - Phone:313-483-9337
Mailing Address - Fax:
Practice Address - Street 1:1952 MONROE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2917
Practice Address - Country:US
Practice Address - Phone:313-483-9337
Practice Address - Fax:313-483-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Single Specialty