MEDICARE: INTEGRITY EAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	14295	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7067116	OTHER	TX	AETNA
2	3596LC	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1851425995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY EAP

Provider Business Mailing Address
First Line	:	1600 N LEE TREVINO DR
Second Line	:	SUITE C-7
City	:	EL PASO
State	:	TX
Zip	:	79936-5169
Country	:	US
Telephone Number	:	915-593-5676
Fax Number	:	915-593-1199

Provider Business Practice Location Address
First Line	:	1600 N LEE TREVINO DR
Second Line	:	SUITE C-7
City	:	EL PASO
State	:	TX
Zip	:	79936-5169
Country	:	US
Telephone Number	:	915-593-5676
Fax Number	:	915-593-1199

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DEBORAH E. ONTIVEROS
Credential	:	LPC, CEAP, PHR
Telephone Number	:	915-593-5676

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	09/18/2007

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Directions to “INTEGRITY EAP ” Practice Location

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