Healthcare Provider Details

I. General information

NPI: 1245160761
Provider Name (Legal Business Name): INTEGRITY THERAPEUTIC COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 MOUNT PLEASANT RD
MOUNT OLIVE MS
39119-5279
US

IV. Provider business mailing address

377 MOUNT PLEASANT RD
MOUNT OLIVE MS
39119-5279
US

V. Phone/Fax

Practice location:
  • Phone: 601-517-2568
  • Fax: 228-200-5636
Mailing address:
  • Phone: 601-517-2568
  • Fax: 228-200-5636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIE WHITE
Title or Position: CEO
Credential: WHITE
Phone: 601-517-2568