Provider Demographics
NPI:1669226395
Name:INTEGRITY SUPPORT SERVICES
Entity type:Organization
Organization Name:INTEGRITY SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZAKYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GAZEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-898-2301
Mailing Address - Street 1:2594 COUNTY ROAD H2
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55112-6254
Mailing Address - Country:US
Mailing Address - Phone:763-898-2301
Mailing Address - Fax:
Practice Address - Street 1:2594 COUNTY ROAD H2
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55112-6254
Practice Address - Country:US
Practice Address - Phone:763-898-2301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty