Provider Demographics
NPI:1023608254
Name:ENCOMPASS INTEGRATIVE HEALTH, LLC
Entity type:Organization
Organization Name:ENCOMPASS INTEGRATIVE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LP
Authorized Official - Phone:715-497-6802
Mailing Address - Street 1:19230 EVANS ST NW STE 109
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-1079
Mailing Address - Country:US
Mailing Address - Phone:952-232-6054
Mailing Address - Fax:952-232-6350
Practice Address - Street 1:19230 EVANS ST NW STE 109
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1079
Practice Address - Country:US
Practice Address - Phone:952-232-6054
Practice Address - Fax:952-232-6350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty