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General NPI Number Information
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NPI Number | 1346185527
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 210 WESTGATE MALL DRIVE SUITE 6
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City | SPARTANBURG
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State | SC
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Zip | 29301
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Country | US
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Telephone | 561-510-0471
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Fax |
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Provider Business Mailing Address
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Address Line | 800 N SAPODILLA AVE STE 3
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3640
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Country | US
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Telephone | 561-510-0471
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MONIQUE D BROWN FAUST
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Credential | PHD LMHC LPC MCAP
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Telephone | 561-510-0471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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