Provider Demographics
NPI:1285383406
Name:INTEGRITY BEHAVIORAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:INTEGRITY BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-884-3764
Mailing Address - Street 1:106 MOSS LN STE 3
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4082
Mailing Address - Country:US
Mailing Address - Phone:985-746-5405
Mailing Address - Fax:985-746-5406
Practice Address - Street 1:106 MOSS LN STE 3
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4082
Practice Address - Country:US
Practice Address - Phone:985-746-5405
Practice Address - Fax:985-746-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health