Integrated Health

LBN: Behavior, Attention, And Developmental Disabilities Consultants, Llc
Integrated Health is an health care organization with primary practice located at 5779 Getwell Rd Bldg D3 , Southaven MS 38672-6351. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Behavior, Attention, And Developmental Disabilities Consultants, Llc can be contacted via phone (662) 510-6507, or through Johnson, Emily Thomas via phone (662) 609-4950.

Contact Information

Primary practice address
5779 Getwell Rd Bldg D3 Southaven MS 38672-6351
Phone: (662) 510-6507
Fax: (662) 510-6508
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Emily Thomas PH.D.
Phone: (662) 609-4950

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1902089857
LBN Legal business name Behavior, Attention, And Developmental Disabilities Consultants, Llc
DBA Doing business as Integrated Health
Authorized official Johnson, Emily Thomas PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2007
Last updated Feb 22nd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902089857 NPPES
Tennessee MEDICAID Q055944
Tennessee MEDICAID 00634747

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