Provider Demographics
NPI:1467109603
Name:INTEGRITY MENTAL HEALTH, LLC
Entity Type:Organization
Organization Name:INTEGRITY MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:307-262-3309
Mailing Address - Street 1:2241 FARNUM ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-4108
Mailing Address - Country:US
Mailing Address - Phone:307-262-3309
Mailing Address - Fax:307-333-0335
Practice Address - Street 1:2241 FARNUM ST STE 102
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4108
Practice Address - Country:US
Practice Address - Phone:307-262-3309
Practice Address - Fax:307-333-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty