MEDICARE: INTEGRITY BEHAVIORAL HEALTHCARE

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
1	1041C0700X	Clinical Social Worker	5237-C	NV

General Provider Information

NPI Number	:	1699162974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY BEHAVIORAL HEALTHCARE

Provider Business Mailing Address
First Line	:	801 S RANCHO DR STE E3A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-533-7660
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S RANCHO DR STE E3A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-533-7660
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	ANDREA T ORNELAS
Credential	:	LCSW
Telephone Number	:	702-533-7660

Provider Enumeration Date	:	04/23/2015
Last Update Date	:	08/19/2022

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