Provider Demographics
NPI:1194129494
Name:TOTAL YOU INTEGRATIVE MEDICINE CENTER
Entity type:Organization
Organization Name:TOTAL YOU INTEGRATIVE MEDICINE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIOMEDICAL NEUROSCIENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN-PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, DMIN, DACBN
Authorized Official - Phone:240-383-4800
Mailing Address - Street 1:PO BOX 1786
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-5786
Mailing Address - Country:US
Mailing Address - Phone:240-383-4800
Mailing Address - Fax:240-846-1533
Practice Address - Street 1:9135 PISCATAWAY ROAD
Practice Address - Street 2:SUITE 410
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:240-348-7860
Practice Address - Fax:240-348-7861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD659918103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty