Integrated Behavioral Health, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

INTEGRATED BEHAVIORAL HEALTH, PLLC

Doing business as

Integrated Behavioral Health Mississippi

Practice address

759 Howard Ave
Biloxi, MS 39530-4305

Phone

(228) 374-2100

Fax

(228) 432-5539

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daanish Qalbani

Title

Operations Director

Phone

(314) 518-3907

Specialties & licenses 1

Addresses

Other names 1

• Integrated Behavioral Health Mississippi Doing business as

Locations

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1235755257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 HOWARD AVE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304305",
            "telephone_number": "228-374-2100",
            "fax_number": "228-432-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 HOWARD AVE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304305",
            "telephone_number": "228-374-2100",
            "fax_number": "228-432-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "QALBANI",
        "authorized_official_first_name": "DAANISH",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "314-518-3907"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Behavioral Health Mississippi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vickie Ann Hurst, CRTT
• Justin M Hyde, R.D.
• Illuminated Direction
• Immediate Family Clinic
• Yashica R Inman
• Integrated Medical and Wellness Clinic of Mississippi LLC
• Iop Behavioral Health, LLC (IOP Behavioral Health, LLC Mississippi)
• Lori Dee Isaac
• Kyle Iverson
• J. L. Miles, DO Sleep Lab

• Psychiatry Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.