Healthcare Provider Details

I. General information

NPI: 1912824350
Provider Name (Legal Business Name): INTEGRATIVE HEALING COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 E CONCORD ST
ORLANDO FL
32803-5412
US

IV. Provider business mailing address

1516 E CONCORD ST
ORLANDO FL
32803-5412
US

V. Phone/Fax

Practice location:
  • Phone: 407-701-4230
  • Fax: 407-783-0188
Mailing address:
  • Phone: 407-701-4230
  • Fax: 407-783-0188

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: DOMINIQUE BARRITT
Title or Position: OWNER/PRESIDENT
Credential: LMHC
Phone: 407-701-4230