Healthcare Provider Details

I. General information

NPI: 1942437231
Provider Name (Legal Business Name): INTEGRATIVE COUNSELING SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2009
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 VALLEY WEST DRIVE SUITE 508
WEST DES MOINES IA
50266
US

IV. Provider business mailing address

1200 VALLEY WEST DRIVE SUITE 508
WEST DES MOINES IA
50266
US

V. Phone/Fax

Practice location:
  • Phone: 515-267-1340
  • Fax: 515-224-3949
Mailing address:
  • Phone: 515-267-1340
  • Fax: 515-348-8260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: WARREN PHILLIPS III
Title or Position: CHIEF CLINICAL OFFICER
Credential:
Phone: 515-233-1122