Provider Demographics
NPI:1265819783
Name:INTEGRATIVE BEHAVIORAL HEALTH AND WELLNESS, INC
Entity Type:Organization
Organization Name:INTEGRATIVE BEHAVIORAL HEALTH AND WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-439-7558
Mailing Address - Street 1:1000 CENTRE GREEN WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2283
Mailing Address - Country:US
Mailing Address - Phone:919-439-7558
Mailing Address - Fax:866-683-0430
Practice Address - Street 1:1000 CENTRE GREEN WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2283
Practice Address - Country:US
Practice Address - Phone:919-439-7558
Practice Address - Fax:866-683-0430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YA0400X, 101YM0800X, 101YP2500X, 103T00000X, 164W00000X, 251B00000X, 251S00000X, 251V00000X, 284300000X, 390200000X
251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty
No284300000XHospitalsSpecial HospitalGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty