Healthcare Provider Details

I. General information

NPI: 1851615991
Provider Name (Legal Business Name): INTEGRATED TREATMENT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2010
Last Update Date: 03/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 MCDANIEL DRIVE
WEST CHESTER PA
19380
US

IV. Provider business mailing address

1503 MCDANIEL DRIVE
WEST CHESTER PA
19380
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-4995
  • Fax: 610-692-4997
Mailing address:
  • Phone: 610-692-4995
  • Fax: 610-692-4997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC003871
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberCW013578
License Number StatePA

VIII. Authorized Official

Name: PAULA G TROPIANO
Title or Position: PRESIDENT/MEMBER
Credential: MA, LPC, CCDP-DIPLOM
Phone: 610-692-4995