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General NPI Number Information
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NPI Number | 1891699690
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Entity Type | Organization
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Legal Business Name | INTEGRATED BEHAVIORAL CONSULTING LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 3591 S MERCY RD STE 204
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City | GILBERT
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State | AZ
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Zip | 85297-2240
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Country | US
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Telephone | 623-974-2673
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Fax |
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Provider Business Mailing Address
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Address Line | 1455 N GAYLORD CIR
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City | MESA
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State | AZ
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Zip | 85213-4120
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Country | US
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Telephone | 480-203-5501
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAINA STAPLEY
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Credential | MBA
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Telephone | 480-203-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NULL
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