Provider Demographics
NPI:1770479750
Name:INTEGRITY SKIN & DERMCARE LLC
Entity type:Organization
Organization Name:INTEGRITY SKIN & DERMCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:C
Authorized Official - Last Name:TALENS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:757-270-4074
Mailing Address - Street 1:2972 HERON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-7237
Mailing Address - Country:US
Mailing Address - Phone:757-270-4074
Mailing Address - Fax:
Practice Address - Street 1:2972 HERON RIDGE DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-7237
Practice Address - Country:US
Practice Address - Phone:757-270-4074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty