Provider Demographics
NPI:1851425995
Name:INTEGRITY EAP
Entity Type:Organization
Organization Name:INTEGRITY EAP
Other - Org Name:WELLCONNECT EAP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:ONTIVEROS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CEAP, PHR
Authorized Official - Phone:915-593-5676
Mailing Address - Street 1:1600 N LEE TREVINO DR
Mailing Address - Street 2:SUITE C-7
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5169
Mailing Address - Country:US
Mailing Address - Phone:915-593-5676
Mailing Address - Fax:915-593-1199
Practice Address - Street 1:1600 N LEE TREVINO DR
Practice Address - Street 2:SUITE C-7
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5169
Practice Address - Country:US
Practice Address - Phone:915-593-5676
Practice Address - Fax:915-593-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14295101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7067116OtherAETNA
TX3596LCOtherBCBS