Provider Demographics
NPI:1255941126
Name:INTEGRATED BEHAVIORAL AND PRIMARY CARE LLC
Entity type:Organization
Organization Name:INTEGRATED BEHAVIORAL AND PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:ALANA
Authorized Official - Last Name:LITVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-439-6400
Mailing Address - Street 1:23850 COMMERCE PARK
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5829
Mailing Address - Country:US
Mailing Address - Phone:440-753-6030
Mailing Address - Fax:440-568-5003
Practice Address - Street 1:23850 COMMERCE PARK
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5829
Practice Address - Country:US
Practice Address - Phone:440-753-6030
Practice Address - Fax:440-568-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty