Healthcare Provider Details

I. General information

NPI: 1649522806
Provider Name (Legal Business Name): INTEGRATED THERAPEUTIC SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2012
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: 678-752-2336
  • Fax:
Mailing address:
  • Phone: 678-752-2336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC005279
License Number StateGA

VIII. Authorized Official

Name: MRS. ANNA MORIARTY
Title or Position: OWNER
Credential: MPS, LPC, LMHC, CPCS
Phone: 678-752-2336