Healthcare Provider Details

I. General information

NPI: 1295608032
Provider Name (Legal Business Name): INTEGRAL CHAPLAIN SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S MONROE ST
TALLAHASSEE FL
32301-1529
US

IV. Provider business mailing address

2020 W PENSACOLA ST STE 210-160
TALLAHASSEE FL
32304-3186
US

V. Phone/Fax

Practice location:
  • Phone: 850-491-7198
  • Fax:
Mailing address:
  • Phone: 850-491-7198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. ROMONDO LAMONT PORCHIA
Title or Position: PRESIDENT/EXECUTIVE DIRECTOR
Credential: MDIV., LPC, BCC
Phone: 850-491-7198