Healthcare Provider Details

I. General information

NPI: 1306644547
Provider Name (Legal Business Name): INTEGRATIVE PSYCHIATRY CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9777 RAVENNA RD STE 102
TWINSBURG OH
44087-2153
US

IV. Provider business mailing address

9777 RAVENNA RD STE 102
TWINSBURG OH
44087-2153
US

V. Phone/Fax

Practice location:
  • Phone: 330-227-8333
  • Fax: 833-523-2203
Mailing address:
  • Phone: 330-227-8333
  • Fax: 833-523-2203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAUREL A HURST
Title or Position: OWNER
Credential: APRN
Phone: 330-227-8333