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General NPI Number Information
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NPI Number | 1023367570
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Entity Type | Organization
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Legal Business Name | INTEGRAPY, INC.
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 1119 KIRKWOOD DR
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City | FRANKLIN
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State | TN
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Zip | 37067-8662
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Country | US
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Telephone | 305-502-7559
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Fax |
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Provider Business Mailing Address
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Address Line | 120 3RD AVE S
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City | FRANKLIN
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State | TN
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Zip | 37064-2511
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Country | US
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Telephone | 305-725-0070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAURYN SALASSI GILLIAM
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Credential | LMFT
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Telephone | 305-725-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT 2562
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | LMT 1086
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License Number State | TN
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