INTEGRATED HEALTH CENTER (NPI# 1336505809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336505809 |
| Entity Type | Organization |
| Organization Name | INTEGRATED HEALTH CENTER |
| Practice Address |
8600 Tara Blvd Suite D Jonesboro GA 30236 |
| Mailing Address |
5737 Old National Highway 300b Atlanta GA 30349 |
| Practice Telephone | 6788347615 |
| Mailing Telephone | 6788347615 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | MR. LEENA SHAH (OWNER) |
| Authorized Official Telephone | 6788347615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 253J00000X | Foster Care Agency | Agencies | ||
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434875 | Integrated Health Center | Clinic/Center | 128 Leisure Ln, Columbia, SC 29210-4125 | 2020-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Integrated Health Center of Arlington LLC | 46 South Glebe Rd Ste 100, Arlington, Virginia 22204 |
| Street Address |
8600 TARA BLVD SUITE D |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| 1184045163 | Diane Johnson | Community/Behavioral Health | 1141 Gable Terrace, Jonesboro, GA 30236 | 2013-12-18 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221931 | Smith Counseling Center | Counselor | 517 Southwest Dr Ste H, Jonesboro, AR 72401-5858 | 2020-09-24 |
| 1548895667 | The Practice: Therapeutic Counseling Services | Counselor | 1407 Marketplace Dr Ste 2, Jonesboro, AR 72401-5271 | 2020-03-09 |
| 1235769332 | Hilde Nicole White | Counselor | 3707 Harrisburg Rd, Jonesboro, AR 72404-8463 | 2020-01-17 |
| 1750929196 | Finetra Chambers | Counselor | 194 Jonesboro Rd Ste A7, Jonesboro, GA 30236-2401 | 2019-12-17 |
| 1881245942 | Business Management Consultants, LLC | Counselor | 409 Arrowhead Blvd Ste C1&c2, Jonesboro, GA 30236-1255 | 2019-09-20 |
| 1275181216 | Nc Counseling Services, Pllc | Counselor | 2917 King St Ste Cd, Jonesboro, AR 72401-5322 | 2019-09-03 |
| 1730642588 | Camille Jewel Rowe | Counselor | 9339 Basswood Way, Jonesboro, GA 30236-6194 | 2019-04-09 |
| 1083185656 | Pia Bhatti | Counselor | 560 Highway 138 W, Jonesboro, GA 30238-2222 | 2018-12-07 |
| 1609342310 | Kasandra Haynes | Counselor | 4217 Oakhill Ln, Jonesboro, AR 72401-8806 | 2018-10-19 |
| 1730616798 | The Mentalists Group LLC | Counselor | 124 S Main St Ste 2d, Jonesboro, GA 30236-3502 | 2017-05-20 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.