| Integrative Therapy, Inc. | |
|
1225 Sharpestowne Ct Mount Pleasant SC 29466-7564 | |
| (854) 205-6386 | |
| Not Available |
| Full Name | Integrative Therapy, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1225 Sharpestowne Ct, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Raphael Romero (PRESIDENT/OWNER) |
| Authorized Official Contact | 8542056386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Therapy, Inc. 3022 S Morgans Pt Rd # 149 Mount Pleasant SC 29466-7189 Ph: (854) 205-6386 | Integrative Therapy, Inc. 1225 Sharpestowne Ct Mount Pleasant SC 29466-7564 Ph: (854) 205-6386 |
| NPI Number | 1639868524 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 0648638049 |
|---|---|
| Medicare Enrollment ID | O20230616000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639868524 | NPI | - | NPPES |
| Provider Name | Raphael Romero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780709436 PECOS PAC ID: 7012317530 Enrollment ID: I20210621000965 |
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