Provider Demographics
NPI:1942437231
Name:INTEGRATIVE COUNSELING SOLUTIONS INC.
Entity Type:Organization
Organization Name:INTEGRATIVE COUNSELING SOLUTIONS INC.
Other - Org Name:CENTRAL IOWA PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:515-233-1122
Mailing Address - Street 1:1200 VALLEY WEST DRIVE
Mailing Address - Street 2:SUITE 508
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266
Mailing Address - Country:US
Mailing Address - Phone:515-267-1340
Mailing Address - Fax:515-348-8260
Practice Address - Street 1:1200 VALLEY WEST DRIVE
Practice Address - Street 2:SUITE 508
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-267-1340
Practice Address - Fax:515-224-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)