Provider Demographics
NPI:1033000716
Name:INTEGRATION CORPORATION
Entity type:Organization
Organization Name:INTEGRATION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACGOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAADC, LCSW
Authorized Official - Phone:310-508-9531
Mailing Address - Street 1:916 N WESTERN AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-2407
Mailing Address - Country:US
Mailing Address - Phone:310-508-9531
Mailing Address - Fax:888-345-6044
Practice Address - Street 1:916 N WESTERN AVE STE 210
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-2407
Practice Address - Country:US
Practice Address - Phone:310-508-9531
Practice Address - Fax:888-345-6044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty