| Institute For Integrated Behavioral Health, Llc | |
|
21033 Pine Knot Ln Land O Lakes FL 34637-7827 | |
| (919) 339-8611 | |
| (919) 339-8611 |
| Full Name | Institute For Integrated Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21033 Pine Knot Ln, Land O Lakes, Florida |
| Authorized Official Name and Position | Vanda Michel (MEMBER) |
| Authorized Official Contact | 9193398611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Integrated Behavioral Health, Llc 21033 Pine Knot Ln Land O Lakes FL 34637-7827 Ph: (919) 339-8611 | Institute For Integrated Behavioral Health, Llc 21033 Pine Knot Ln Land O Lakes FL 34637-7827 Ph: (919) 339-8611 |
| NPI Number | 1861904419 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 11/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861904419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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