Provider Demographics
NPI:1942452198
Name:INTEGRATIVE TREATMENT OPTIONS
Entity Type:Organization
Organization Name:INTEGRATIVE TREATMENT OPTIONS
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:SKY
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:941-544-5235
Mailing Address - Street 1:2459 IXORA AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-7328
Mailing Address - Country:US
Mailing Address - Phone:941-544-5235
Mailing Address - Fax:941-362-4644
Practice Address - Street 1:2459 IXORA AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-7328
Practice Address - Country:US
Practice Address - Phone:941-544-5235
Practice Address - Fax:941-362-4644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6161103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty