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General NPI Number Information
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NPI Number | 1942151469
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1187 27TH ST
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City | MOLINE
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State | IL
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Zip | 61265-2316
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Country | US
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Telephone | 563-581-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 27TH ST
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City | MOLINE
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State | IL
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Zip | 61265-2316
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR/ OWNER
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Name | LOGAN WISSING
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Credential | LCPC
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Telephone | 563-581-1661
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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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