Healthcare Provider Details

I. General information

NPI: 1639043615
Provider Name (Legal Business Name): ALBRIGHT INTEGRATIVE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PELLICER LN
ST AUGUSTINE FL
32084-0491
US

IV. Provider business mailing address

PO BOX 840082
SAINT AUGUSTINE FL
32080-0082
US

V. Phone/Fax

Practice location:
  • Phone: 662-339-1986
  • Fax: 662-246-2068
Mailing address:
  • Phone: 662-339-1986
  • Fax: 662-246-2068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KAMAL ALBRIGHT
Title or Position: PSYCHIATRIST/OWNER
Credential: MD
Phone: 662-339-1986