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NPI Code Detail

MEDICARE: INTEGRATIVE HEALTH PARTNERS LLC

MEDICARE: INTEGRATIVE HEALTH PARTNERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker
3133V00000XRegistered Dietitian
4363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1174470322
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATIVE HEALTH PARTNERS LLC
Provider Business Mailing Address
First Line : PO BOX 401477
Second Line :
City : LAS VEGAS
State : NV
Zip : 89140-1477
Country : US
Telephone Number : 888-683-2584
Fax Number : 888-683-2567
Provider Business Practice Location Address
First Line : 750 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-2910
Country : US
Telephone Number : 888-343-6046
Fax Number : 888-343-6746
Authorized Official
Title or Position : CEO
Name : KANDY MORRIS
Credential :
Telephone Number : 888-683-2584
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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