Provider Demographics
NPI:1184378796
Name:INTEGRATIVE COUNSELING, LLC
Entity type:Organization
Organization Name:INTEGRATIVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:775-232-1084
Mailing Address - Street 1:PO BOX 5440
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89513-5440
Mailing Address - Country:US
Mailing Address - Phone:775-232-1084
Mailing Address - Fax:
Practice Address - Street 1:330 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2260
Practice Address - Country:US
Practice Address - Phone:775-232-1084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty