Provider Demographics
NPI:1346055431
Name:ECHO INTEGRATIVE
Entity type:Organization
Organization Name:ECHO INTEGRATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO /OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKES- BOYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-472-6333
Mailing Address - Street 1:132 W WASHINGTON ST # 92
Mailing Address - Street 2:
Mailing Address - City:DIMONDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48821-7703
Mailing Address - Country:US
Mailing Address - Phone:989-472-6333
Mailing Address - Fax:
Practice Address - Street 1:132 W WASHINGTON ST # 92
Practice Address - Street 2:
Practice Address - City:DIMONDALE
Practice Address - State:MI
Practice Address - Zip Code:48821-7703
Practice Address - Country:US
Practice Address - Phone:989-472-6333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty