Healthcare Provider Details

I. General information

NPI: 1992178230
Provider Name (Legal Business Name): INTEGRATED THERAPEUTIC SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6549 FREEPORT DR
SPRING HILL FL
34608-1208
US

IV. Provider business mailing address

6549 FREEPORT DR
SPRING HILL FL
34608-1208
US

V. Phone/Fax

Practice location:
  • Phone: 678-722-1031
  • Fax: 470-297-3660
Mailing address:
  • Phone: 678-722-1031
  • Fax: 470-297-3660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8573
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5279
License Number StateGA

VIII. Authorized Official

Name: ANNALEIGHA MORIARTY
Title or Position: OWNER/CLINICAL SUPERVISOR
Credential: MPS, LPC, LMHC, CPCS
Phone: 678-722-1031