| Integrity Mental Health Llc | |
|
625 N Gilbert Rd Ste 104 Gilbert AZ 85234-4511 | |
| (480) 834-3507 | |
| (480) 834-3982 |
| Full Name | Integrity Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 625 N Gilbert Rd Ste 104, Gilbert, Arizona |
| Authorized Official Name and Position | Jennifer E Bagby (OWNER) |
| Authorized Official Contact | 4808343507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Mental Health Llc 625 N Gilbert Rd Ste 104 Gilbert AZ 85234-4511 Ph: (480) 834-3507 | Integrity Mental Health Llc 625 N Gilbert Rd Ste 104 Gilbert AZ 85234-4511 Ph: (480) 834-3507 |
| NPI Number | 1669983433 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Medicare PECOS PAC ID | 2961761879 |
|---|---|
| Medicare Enrollment ID | O20180123002076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669983433 | NPI | - | NPPES |
| 329684 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 6520 (Arizona) | Primary |
| 363AM0700X | Physician Assistant - Medical | 6193 (Arizona) | Secondary |
| Provider Name | Laura A Barket |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659614469 PECOS PAC ID: 7113216557 Enrollment ID: I20170503001314 |
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