Provider Demographics
NPI:1245620541
Name:INTEGRITY FIRST BEHAVIORAL SERVICES, INC
Entity type:Organization
Organization Name:INTEGRITY FIRST BEHAVIORAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:DONISHIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MMHC
Authorized Official - Phone:863-967-9000
Mailing Address - Street 1:PO BOX 1388
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-1388
Mailing Address - Country:US
Mailing Address - Phone:863-967-9000
Mailing Address - Fax:866-245-1688
Practice Address - Street 1:223 E LAKE AVE
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3454
Practice Address - Country:US
Practice Address - Phone:863-967-9000
Practice Address - Fax:866-245-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4552101YM0800X, 251B00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty