Organization Active NPI

The Integrative Healing Space LLC

  • Clinical Social Worker
  • Wellington, FL
National Provider Identifier
1043966153
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE INTEGRATIVE HEALING SPACE LLC
Practice address
9314 Forest Hill Blvd # 30
Wellington, FL 33411-6577
Phone
(561) 316-7664
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Poyser-Navratil, LCSWNPI 1447668249
Title
Ceo
Phone
(424) 234-2924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9314 Forest Hill Blvd # 30
Wellington, FL 33411-6577

Mailing address

9314 Forest Hill Blvd # 30
Wellington, FL 33411-6577
Phone (561) 316-7664

Other practice location 1

317 Matthews Mint Hill Rd Ste 203
Matthews, NC 28105-2894
Phone (561) 316-7664

National Provider Directory

National Provider Directory

Locations

317 Matthews Mint Hill Rd
Ste 203
Matthews, NC 28105
Phone (561) 316-7664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1043966153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 FOREST HILL BLVD # 30",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334116577",
            "telephone_number": "561-316-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 FOREST HILL BLVD # 30",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334116577",
            "telephone_number": "561-316-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Matthews Mint Hill Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281052894",
            "country_code": "US",
            "telephone_number": "561-316-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE INTEGRATIVE HEALING SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "POYSER-NAVRATIL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-234-2924",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.