Provider Demographics
NPI:1891142493
Name:INTEGRATION & HEALING CENTER
Entity Type:Organization
Organization Name:INTEGRATION & HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:T
Authorized Official - Last Name:OATS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:352-278-1541
Mailing Address - Street 1:108 N MAGNOLIA AVE STE 215B
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-6643
Mailing Address - Country:US
Mailing Address - Phone:352-237-1541
Mailing Address - Fax:
Practice Address - Street 1:108 N MAGNOLIA AVE STE 215B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-6643
Practice Address - Country:US
Practice Address - Phone:352-237-1541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center