Provider Demographics
NPI:1336315365
Name:INTEGRITY HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:INTEGRITY HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:662-361-8671
Mailing Address - Street 1:8348 HIGHWAY 21
Mailing Address - Street 2:
Mailing Address - City:SHUQUALAK
Mailing Address - State:MS
Mailing Address - Zip Code:39361-7903
Mailing Address - Country:US
Mailing Address - Phone:662-361-8671
Mailing Address - Fax:601-677-4276
Practice Address - Street 1:8348 HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:SHUQUALAK
Practice Address - State:MS
Practice Address - Zip Code:39361-7903
Practice Address - Country:US
Practice Address - Phone:662-361-8671
Practice Address - Fax:601-677-4276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty