Healthcare Provider Details

I. General information

NPI: 1053215970
Provider Name (Legal Business Name): INTEGRATIVE CARE-BEHAVIORAL HEALTHCARE & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 GRELOT RD STE B
MOBILE AL
36695-2699
US

IV. Provider business mailing address

6720 GRELOT RD STE B
MOBILE AL
36695-2699
US

V. Phone/Fax

Practice location:
  • Phone: 251-410-4424
  • Fax: 251-633-4508
Mailing address:
  • Phone: 251-410-4424
  • Fax: 251-633-4508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: RACHEL M HOADLEY-CLAUSEN
Title or Position: OWNER
Credential: PHD
Phone: 251-410-4424