INTEGRATED THERAPEUTIC SERVICES, LLC (NPI# 1588289730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588289730 |
| Entity Type | Organization |
| Organization Name | INTEGRATED THERAPEUTIC SERVICES, LLC |
| Practice Address |
1015 37th Avenue Ct Unit 102 Greeley CO 80634-2500 |
| Practice Telephone | 9709781768 |
| Practice Fax Number | 9703521945 |
| Mailing Telephone | 9709781768 |
| Mailing Fax Number | 9703521945 |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-06-13 |
| Authorized Official Name | LIVIA DANIELA DUMESNIL (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9709781768 |
| Authorized Official Credential | LPC, LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Integrated Therapeutic Services, LLC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Integrated Therapeutic Services, LLC | 1015 37th Avenue Ct., Suite 102, Greeley, CO 80634 |
| Street Address |
1015 37TH AVENUE CT UNIT 102 |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184971756 | Livia Daniela Dumesnil | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2012-08-13 |
| 1407463730 | Restore Grace Counseling LLC | Social Worker | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2020-09-30 |
| 1154979318 | Gena Du Bois Hepworth | Social Worker | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2019-08-30 |
| 1811453624 | Elina Zentz | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2019-02-17 |
| 1598205577 | Amy Carlson | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2017-02-24 |
| 1538513361 | Kimberly Page | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2016-04-18 |
| 1326465964 | Leigh Stiverson | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295060598 | North Range Behavioral Health | Clinic/Center | 1260 H St, Greeley, CO 80631-9115 | 2009-10-05 |
| 1275548638 | North Range Behavioral Health | Clinic/Center | 2350 W 3rd Street Rd, Greeley, CO 80631 | 2006-07-31 |
| 1427691831 | North Range Behavioral Health | Clinic/Center | 1407 8th Ave, Greeley, CO 80631-4603 | 2019-10-18 |
| 1184107088 | North Range Behavioral Health | Clinic/Center | 7251 W 20th St Unit C, Greeley, CO 80634-4626 | 2018-09-07 |
| 1598157653 | North Range Behavioral Health | Clinic/Center | 928 12th St, Greeley, CO 80631 | 2015-02-26 |
| 1033444278 | North Range Behavioral Health | Clinic/Center | 1140 M St, Greeley, CO 80631 | 2009-10-06 |
| 1457686693 | North Range Behavioral Health | Clinic/Center | 1309 10th Ave, Greeley, CO 80631 | 2009-10-06 |
| 1790010940 | North Range Behavioral Health | Clinic/Center | 100 N 11th Ave, Greeley, CO 80631 | 2009-10-06 |
| 1134454374 | North Range Behavioral Health | Clinic/Center | 1306 11th Ave, Greeley, CO 80631-9584 | 2009-10-06 |
| 1326371337 | Banner Greeley Specialists | Clinic/Center | 1800 15th St, Ste 200, Greeley, CO 80631-4500 | 2009-09-09 |
| Find all providers in GREELEY | ||||
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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.