Healthcare Provider Details

I. General information

NPI: 1326665852
Provider Name (Legal Business Name): FIRST INTEGRATIVE CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 GREEN ST NW STE 404
GAINESVILLE GA
30501-3366
US

IV. Provider business mailing address

716 HOLCOMB BRIDGE RD
NORCROSS GA
30071-1325
US

V. Phone/Fax

Practice location:
  • Phone: 678-732-7616
  • Fax:
Mailing address:
  • Phone: 678-396-1063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MISS NAHOMIE JULIEN
Title or Position: CEO
Credential: LCSW, CADCII,CAMSII,
Phone: 678-396-1063