Healthcare Provider Details

I. General information

NPI: 1013716034
Provider Name (Legal Business Name): INTEGRITION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 JEFFERSON ST NE STE 301
ALBUQUERQUE NM
87109-7390
US

IV. Provider business mailing address

5720 EL PRADO RD NW
LOS RANCHOS NM
87107-6310
US

V. Phone/Fax

Practice location:
  • Phone: 505-600-1808
  • Fax: 505-636-9971
Mailing address:
  • Phone: 505-600-1808
  • Fax: 505-636-9971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAURA WOOD
Title or Position: OWNER
Credential: LCSW
Phone: 505-977-2007