| Integrative Healthcare Solutions, Pllc. | |
|
6128 Lamb Woods Dr Bartlett TN 38135-9257 | |
| (662) 721-2304 | |
| Not Available |
| Full Name | Integrative Healthcare Solutions, Pllc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6128 Lamb Woods Dr, Bartlett, Tennessee |
| Authorized Official Name and Position | Jakeisha Taylor Goston (DR. JAKEISHA TAYLOR GOSTON, APRN) |
| Authorized Official Contact | 6627212304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Healthcare Solutions, Pllc. 6025 Stage Rd Ste 42 Bartlett TN 38134-8374 Ph: (662) 721-2304 | Integrative Healthcare Solutions, Pllc. 6128 Lamb Woods Dr Bartlett TN 38135-9257 Ph: (662) 721-2304 |
| NPI Number | 1780393991 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 4789054495 |
|---|---|
| Medicare Enrollment ID | O20221221000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780393991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jakeisha Taylor Goston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710381264 PECOS PAC ID: 0143442210 Enrollment ID: I20141105002651 |
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