Healthcare Provider Details

I. General information

NPI: 1649136284
Provider Name (Legal Business Name): INTEGRATIVE GROWTH STRATEGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 CAMPBELL ST STE 122
GENEVA IL
60134-2777
US

IV. Provider business mailing address

715 STUARTS DR
SAINT CHARLES IL
60174-4710
US

V. Phone/Fax

Practice location:
  • Phone: 630-240-0205
  • Fax: --
Mailing address:
  • Phone: 630-240-0205
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURIE JO MOFFITT
Title or Position: OWNER
Credential: LCPC
Phone: 630-240-0205