Provider Demographics
NPI:1396199386
Name:CHI POWER X2 CONSULTING, LLC
Entity Type:Organization
Organization Name:CHI POWER X2 CONSULTING, LLC
Other - Org Name:INTEGRAL HEALTH PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KILEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:734-790-8063
Mailing Address - Street 1:15 WASHINGTON ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-2267
Mailing Address - Country:US
Mailing Address - Phone:734-790-8063
Mailing Address - Fax:
Practice Address - Street 1:15 WASHINGTON ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-2267
Practice Address - Country:US
Practice Address - Phone:734-790-8063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-16
Last Update Date:2016-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201004797251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health