MEDICARE: FIRST INTEGRATIVE CONSULTING SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	324500000X	Substance Abuse Rehabilitation Facility
2	1041C0700X	Clinical Social Worker
3	251B00000X	Case Management Agency
4	163WP0808X	Psychiatric/Mental Health Registered Nurse
5	103T00000X	Psychologist
6	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1326665852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST INTEGRATIVE CONSULTING SERVICES

Provider Business Mailing Address
First Line	:	716 HOLCOMB BRIDGE RD
Second Line	:
City	:	NORCROSS
State	:	GA
Zip	:	30071-1325
Country	:	US
Telephone Number	:	678-396-1063
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 GREEN ST NW STE 404
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3366
Country	:	US
Telephone Number	:	678-732-7616
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS NAHOMIE JULIEN
Credential	:	LCSW, CADCII,CAMSII,
Telephone Number	:	678-396-1063

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	03/19/2026

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