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NPI 1184511834

NPI 1184511834 : INTEGRITY GROUP HOMES SERVICES LLC : BRANDON, FL

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General NPI Number Information
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    NPI Number           |    1184511834
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEGRITY GROUP HOMES SERVICES LLC 
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Dates
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    Enumeration Date     |    06/23/2025
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    Last Update Date     |    06/23/2025
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Provider Practice Location Address
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    Address Line         |    310 NEW LONDON CT 
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    City                 |    BRANDON
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    State                |    FL
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    Zip                  |    33510-4514
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    Country              |    US
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    Telephone            |    813-897-2623
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    310 NEW LONDON CT 
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    City                 |    BRANDON
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    State                |    FL
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    Zip                  |    33510-4514
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    Country              |    US
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    Telephone            |    813-897-2623
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     EMMANUEL  AKAH 
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    Credential           |    
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    Telephone            |    813-570-9423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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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        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    253J00000X
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    Taxonomy Name        |    Foster Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    310500000X
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    Taxonomy Name        |    Mental Illness Intermediate Care Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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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 #12
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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