Healthcare Provider Details

I. General information

NPI: 1780519652
Provider Name (Legal Business Name): INTEGRA MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24120 MEADOWBROOK RD BOX 29
NOVI MI
48375-3407
US

IV. Provider business mailing address

15165 BLUE SKIES ST
LIVONIA MI
48154-4826
US

V. Phone/Fax

Practice location:
  • Phone: 248-510-9989
  • Fax:
Mailing address:
  • Phone: 248-510-9989
  • 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 Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL HARKNESS
Title or Position: COUNSELOR & ART THERAPIST
Credential: LLC, ATR
Phone: 734-365-3727