Provider Demographics
NPI:1952020141
Name:INTEGRATIVE HEALTH & HEALING, LLC
Entity type:Organization
Organization Name:INTEGRATIVE HEALTH & HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BLAINE
Authorized Official - Last Name:GUELDE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:689-233-9653
Mailing Address - Street 1:PO BOX 533632
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32853-3632
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1617 MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5508
Practice Address - Country:US
Practice Address - Phone:689-233-9653
Practice Address - Fax:689-220-0576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty