| Integrative Neuroscience Pllc | |
|
529 N Highland St Memphis TN 38122-5107 | |
| (901) 249-2154 | |
| Not Available |
| Full Name | Integrative Neuroscience Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 529 N Highland St, Memphis, Tennessee |
| Authorized Official Name and Position | Helen Ly (OWNER) |
| Authorized Official Contact | 9012492154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Neuroscience Pllc 529 N Highland St Memphis TN 38122-5107 Ph: (901) 249-2154 | Integrative Neuroscience Pllc 529 N Highland St Memphis TN 38122-5107 Ph: (901) 249-2154 |
| NPI Number | 1194586578 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 6800239666 |
|---|---|
| Medicare Enrollment ID | O20240208001607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194586578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Anita S Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760498182 PECOS PAC ID: 6204923550 Enrollment ID: I20080111000504 |
| Provider Name | Helen C Ly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487882627 PECOS PAC ID: 0941447668 Enrollment ID: I20141205001860 |
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