Healthcare Provider Details

I. General information

NPI: 1598601700
Provider Name (Legal Business Name): INTEGRATED MINDS COUNSELING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10661 AIRPORT PULLING ROAD NORTH SUITE 14
NAPLES FL
34109
US

IV. Provider business mailing address

10661 AIRPORT PULLING ROAD NORTH SUITE 14
NAPLES FL
34109
US

V. Phone/Fax

Practice location:
  • Phone: 239-235-6285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KEELY LAFRINIER
Title or Position: MANAGER
Credential: LMHC
Phone: 239-235-6285