Provider Demographics
NPI:1851073431
Name:INTEGRATIVE COUNSELING, LLC
Entity type:Organization
Organization Name:INTEGRATIVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HASSELBACHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCCS
Authorized Official - Phone:330-696-1146
Mailing Address - Street 1:600 DOVER CENTER RD # 3
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-3310
Mailing Address - Country:US
Mailing Address - Phone:330-696-1146
Mailing Address - Fax:
Practice Address - Street 1:600 DOVER CENTER RD # 3
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-3310
Practice Address - Country:US
Practice Address - Phone:330-696-1146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty