MEDICARE: GEORGETOWN INTEGRATIVE PSYCHIATRY & WELLNESS PLLC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1962354977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGETOWN INTEGRATIVE PSYCHIATRY & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	2951 FM 1460 UNIT 1701
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-7423
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2951 FM 1460 UNIT 1701
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-7423
Country	:	US
Telephone Number	:	512-582-3424
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	INYENE UMOREN
Credential	:	MD
Telephone Number	:	404-784-4753

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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