Provider Demographics
NPI:1891548491
Name:INTEGRATIVE MENTAL HEALTH SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:INTEGRATIVE MENTAL HEALTH SOLUTIONS, PLLC
Other - Org Name:TRANSFORMED THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPROTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:832-464-5131
Mailing Address - Street 1:16710 STONESIDE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-6514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16710 STONESIDE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-6514
Practice Address - Country:US
Practice Address - Phone:832-464-5131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSFORMED THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-11
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty