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NPI Code Detail

MEDICARE: INTEGRATIVE HEALTH & HEALING, LLC

MEDICARE: INTEGRATIVE HEALTH & HEALING, 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952020141
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATIVE HEALTH & HEALING, LLC
Provider Business Mailing Address
First Line : PO BOX 533632
Second Line :
City : ORLANDO
State : FL
Zip : 32853-3632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1617 MOUNT VERNON ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-5508
Country : US
Telephone Number : 689-233-9653
Fax Number : 689-220-0576
Authorized Official
Title or Position : OWNER
Name : ELIZABETH BLAINE GUELDE
Credential : APRN
Telephone Number : 689-233-9653
Provider Enumeration Date : 08/23/2022
Last Update Date : 04/10/2025

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Directions to “INTEGRATIVE HEALTH & HEALING, LLC ” Practice Location

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