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General NPI Number Information
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NPI Number | 1083529424
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE WELLNESS PSYCHIATRIC CARE, NURSING CORPORATION
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 614 W MANCHESTER BLVD STE 101
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City | INGLEWOOD
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State | CA
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Zip | 90301-1680
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Country | US
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Telephone | 323-833-5602
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Fax |
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Provider Business Mailing Address
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Address Line | 614 W MANCHESTER BLVD STE 101
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City | INGLEWOOD
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State | CA
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Zip | 90301-1680
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Country | US
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Telephone | 323-833-5602
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWANDA SMITH
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Credential | RN, NP
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Telephone | 323-833-5062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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