Healthcare Provider Details

I. General information

NPI: 1265792188
Provider Name (Legal Business Name): INTEGRITY FAMILY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 ALBRIGHT RD
KOKOMO IN
46902-3996
US

IV. Provider business mailing address

2751 ALBRIGHT RD
KOKOMO IN
46902-3996
US

V. Phone/Fax

Practice location:
  • Phone: 765-450-4843
  • Fax: 765-450-4895
Mailing address:
  • Phone: 765-450-4843
  • Fax: 765-450-4895

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 Code103TC1900X
TaxonomyCounseling Psychologist
License Number20041836A
License Number StateIN

VIII. Authorized Official

Name: DR. SAMANTHA G HALL FISHER
Title or Position: CO-OWNER
Credential: LMHC, PH.D.
Phone: 765-450-4843