Provider Demographics
NPI:1346022563
Name:INTEGRATED HEALTHCARE ADVISORS LLC
Entity Type:Organization
Organization Name:INTEGRATED HEALTHCARE ADVISORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HEDDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-935-5110
Mailing Address - Street 1:PO BOX 8477
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85066-8477
Mailing Address - Country:US
Mailing Address - Phone:602-935-5110
Mailing Address - Fax:
Practice Address - Street 1:8428 S 16TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6908
Practice Address - Country:US
Practice Address - Phone:602-635-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty