Healthcare Provider Details

I. General information

NPI: 1235076993
Provider Name (Legal Business Name): AMERICAN INTEGRATIVE PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SOUTHRIDGE PKWY STE 307A
CULPEPER VA
22701-3775
US

IV. Provider business mailing address

700 SOUTHRIDGE PKWY STE 307A
CULPEPER VA
22701-3775
US

V. Phone/Fax

Practice location:
  • Phone: 540-868-5979
  • Fax: 434-214-9064
Mailing address:
  • Phone: 540-868-5979
  • Fax: 434-214-9064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LESLIE LARTEY
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 540-435-4297