Healthcare Provider Details

I. General information

NPI: 1568385185
Provider Name (Legal Business Name): INTEGRATIVE ACUPUNCTURE & HEALTH COACHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RAINROCK PL
PALM COAST FL
32164-6851
US

IV. Provider business mailing address

1 RAINROCK PL
PALM COAST FL
32164-6851
US

V. Phone/Fax

Practice location:
  • Phone: 941-259-9455
  • Fax:
Mailing address:
  • Phone: 941-259-9455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. LUCIENNE SAFAITE
Title or Position: PHYSICIAN/OWNER
Credential: LAC., DACM
Phone: 941-259-9455