Provider Demographics
NPI:1487244265
Name:INTEGRAL HEALTH & COUNSELING LLC
Entity type:Organization
Organization Name:INTEGRAL HEALTH & COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GULED
Authorized Official - Middle Name:
Authorized Official - Last Name:KABARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-255-0846
Mailing Address - Street 1:817 VANDALIA ST STE A1
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1328
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:817 VANDALIA ST STE A1
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1328
Practice Address - Country:US
Practice Address - Phone:612-255-0846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center