| Integral Provider Solutions Pllc | |
|
24044 Cinco Village Center Blvd Katy TX 77494-8432 | |
| (281) 909-4346 | |
| Not Available |
| Full Name | Integral Provider Solutions Pllc |
|---|---|
| Speciality | Counselor |
| Location | 24044 Cinco Village Center Blvd, Katy, Texas |
| Authorized Official Name and Position | Lakersha M Austin (OWNER) |
| Authorized Official Contact | 6796377950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Provider Solutions Pllc 24044 Cinco Village Center Blvd Katy TX 77494-8432 Ph: (281) 909-4346 | Integral Provider Solutions Pllc 24044 Cinco Village Center Blvd Katy TX 77494-8432 Ph: (281) 909-4346 |
| NPI Number | 1255186730 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Medicare PECOS PAC ID | 9830635853 |
|---|---|
| Medicare Enrollment ID | O20250515002026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255186730 | NPI | - | NPPES |
| Provider Name | Gloria A Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255652624 PECOS PAC ID: 5092158360 Enrollment ID: I20240205000883 |
| Provider Name | Xavbryelle Aasher Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639820681 PECOS PAC ID: 1658712492 Enrollment ID: I20240510003179 |
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