Provider Demographics
NPI:1013420504
Name:INTEGRITY BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:INTEGRITY BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR- PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:MAHIR
Authorized Official - Middle Name:I
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-372-8585
Mailing Address - Street 1:951 MARKET ST STE 205
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-6529
Mailing Address - Country:US
Mailing Address - Phone:803-372-8585
Mailing Address - Fax:800-598-6601
Practice Address - Street 1:951 MARKET ST STE 205
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6529
Practice Address - Country:US
Practice Address - Phone:803-328-8255
Practice Address - Fax:800-598-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC210012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCMD21001OtherMEDICAL LICENSE