Provider Demographics
NPI:1528865961
Name:INTEGRITY PSYCHIATRIC HEALTH CARE SERVICES
Entity type:Organization
Organization Name:INTEGRITY PSYCHIATRIC HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KILLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-749-0934
Mailing Address - Street 1:15215 BERRY TRL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-6335
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15215 BERRY TRL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-6335
Practice Address - Country:US
Practice Address - Phone:407-749-0934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty