Provider Demographics
NPI:1699843110
Name:REINTEGRATIVE HEALTH INSTITUTE, LLC
Entity Type:Organization
Organization Name:REINTEGRATIVE HEALTH INSTITUTE, LLC
Other - Org Name:WILLIAM G. COLLINS, PH.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:314-984-8412
Mailing Address - Street 1:1610 DES PERES RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:DES PERES
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1813
Mailing Address - Country:US
Mailing Address - Phone:314-984-8412
Mailing Address - Fax:
Practice Address - Street 1:1610 DES PERES RD
Practice Address - Street 2:SUITE 340
Practice Address - City:DES PERES
Practice Address - State:MO
Practice Address - Zip Code:63131-1813
Practice Address - Country:US
Practice Address - Phone:314-984-8412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001014120106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty