Provider Demographics
NPI:1942992391
Name:INTEGRATIVE PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:INTEGRATIVE PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NORWOOD-STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSCP
Authorized Official - Phone:334-728-4357
Mailing Address - Street 1:2870 PEACHTREE RD NW # 915-5211
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2918
Mailing Address - Country:US
Mailing Address - Phone:334-728-4357
Mailing Address - Fax:
Practice Address - Street 1:407 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:AL
Practice Address - Zip Code:35470
Practice Address - Country:US
Practice Address - Phone:334-728-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty