Provider Demographics
NPI:1730461187
Name:INTEGRATED MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:INTEGRATED MENTAL HEALTH SERVICES
Other - Org Name:VICTORIA WRIGHT-ADAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:WRIGHT-ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:EDM, LPC
Authorized Official - Phone:610-328-2700
Mailing Address - Street 1:1260 E WOODLAND AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3969
Mailing Address - Country:US
Mailing Address - Phone:610-328-2700
Mailing Address - Fax:610-328-2711
Practice Address - Street 1:1260 E WOODLAND AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3969
Practice Address - Country:US
Practice Address - Phone:610-328-2700
Practice Address - Fax:610-328-2711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005861251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health