Provider Demographics
NPI:1346754223
Name:INTEGRATION AND HEALING CENTER INC.
Entity Type:Organization
Organization Name:INTEGRATION AND HEALING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHENORA
Authorized Official - Middle Name:NETASCHIA
Authorized Official - Last Name:ADJEI-CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:352-355-2888
Mailing Address - Street 1:3620 NE 8TH PL STE 5
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-1000
Mailing Address - Country:US
Mailing Address - Phone:352-355-2888
Mailing Address - Fax:352-355-2848
Practice Address - Street 1:1515 E SILVER SPRINGS BLVD STE 134
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6830
Practice Address - Country:US
Practice Address - Phone:352-355-2888
Practice Address - Fax:352-355-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty