Provider Demographics
NPI:1710651757
Name:INTEGRITY COUNSELING SERVICES
Entity Type:Organization
Organization Name:INTEGRITY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:913-210-0552
Mailing Address - Street 1:PO BOX 1265
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66222-0265
Mailing Address - Country:US
Mailing Address - Phone:913-210-0552
Mailing Address - Fax:
Practice Address - Street 1:4843 HORTON ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-1758
Practice Address - Country:US
Practice Address - Phone:913-210-0552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health