Provider Demographics
NPI:1023858248
Name:INTEGRAL BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:INTEGRAL BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEFORO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:402-202-5818
Mailing Address - Street 1:11 DOUGLAS AVE STE 251
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-5590
Mailing Address - Country:US
Mailing Address - Phone:402-202-5818
Mailing Address - Fax:
Practice Address - Street 1:11 DOUGLAS AVE STE 251
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-5590
Practice Address - Country:US
Practice Address - Phone:402-202-5818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-27
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty