Provider Demographics
NPI:1457112849
Name:INTEGRATIVE HEALTHCARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:INTEGRATIVE HEALTHCARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DARTY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,APRN,CPNP, PMHNP
Authorized Official - Phone:318-455-3972
Mailing Address - Street 1:2829 YOUREE DRIVE, STE.1 PMB 1035
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104
Mailing Address - Country:US
Mailing Address - Phone:318-506-1994
Mailing Address - Fax:318-409-2362
Practice Address - Street 1:5704 SWEETWATER DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71119-4018
Practice Address - Country:US
Practice Address - Phone:318-506-1994
Practice Address - Fax:318-409-2362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty