Provider Demographics
NPI:1427548668
Name:INTEGRATIVE WELLNESS SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:INTEGRATIVE WELLNESS SOLUTIONS, PLLC
Other - Org Name:WHOLE MIND-BODY WELLNESS, INTEGRATIVE PSYCOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANCESCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:480-559-5932
Mailing Address - Street 1:531 W EDGEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-1012
Mailing Address - Country:US
Mailing Address - Phone:480-559-5932
Mailing Address - Fax:
Practice Address - Street 1:700 W CAMPBELL AVE STE 1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-2690
Practice Address - Country:US
Practice Address - Phone:623-226-7948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-11720261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health