Provider Demographics
NPI:1306644547
Name:INTEGRATIVE PSYCHIATRY CENTERS
Entity type:Organization
Organization Name:INTEGRATIVE PSYCHIATRY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:330-227-8333
Mailing Address - Street 1:6150 ENTERPRISE PKWY STE 207
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2755
Mailing Address - Country:US
Mailing Address - Phone:330-227-8333
Mailing Address - Fax:833-523-2203
Practice Address - Street 1:10500 ROYALTON RD STE A
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4402
Practice Address - Country:US
Practice Address - Phone:330-227-8333
Practice Address - Fax:833-523-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)