Provider Demographics
NPI:1366054694
Name:INTEGRATIVE COUNSELING L.L.C.
Entity type:Organization
Organization Name:INTEGRATIVE COUNSELING L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:INA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILGERS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:480-231-8925
Mailing Address - Street 1:2211 E HIGHLAND AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4867
Mailing Address - Country:US
Mailing Address - Phone:480-231-8925
Mailing Address - Fax:
Practice Address - Street 1:2211 E HIGHLAND AVE STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4867
Practice Address - Country:US
Practice Address - Phone:480-231-8925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)