Provider Demographics
NPI:1245100361
Name:INTEGOPSYCH DIAGNOSTICS AND TREATMENT
Entity type:Organization
Organization Name:INTEGOPSYCH DIAGNOSTICS AND TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUNGATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-789-8919
Mailing Address - Street 1:34 TROTTER LN
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-8959
Mailing Address - Country:US
Mailing Address - Phone:270-789-8919
Mailing Address - Fax:
Practice Address - Street 1:34 TROTTER LN
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-8959
Practice Address - Country:US
Practice Address - Phone:270-789-8919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty