Healthcare Provider Details

I. General information

NPI: 1790975621
Provider Name (Legal Business Name): INTEGRATIVE HEALTH & HEALING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 S JONES BLVD STE 100A
LAS VEGAS NV
89146-5625
US

IV. Provider business mailing address

1930 VILLAGE CENTER CIR PMB 3-314
LAS VEGAS NV
89134-6238
US

V. Phone/Fax

Practice location:
  • Phone: 702-233-6694
  • Fax: 702-233-0485
Mailing address:
  • Phone: 702-233-6694
  • Fax: 702-233-0485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number5562
License Number StateNV

VIII. Authorized Official

Name: DR. MICHAEL DEAN SCHLACHTER
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 702-233-6694