Integrity Lifeskills LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

INTEGRITY LIFESKILLS LLC

Practice address

Bremond St 506
Versailles, MO 65084

Phone

(573) 378-6768

Fax

(573) 378-6768

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 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

Mr. William Norman Geary

Title

Co Owners

Phone

(573) 378-6768

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245370923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "65084",
            "telephone_number": "573-378-6768",
            "fax_number": "573-378-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BREMOND ST 506",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "65084",
            "telephone_number": "573-378-6768",
            "fax_number": "573-378-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY LIFESKILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "CO OWNERS",
        "authorized_official_telephone_number": "573-378-6768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY",
            "identifier": "00571",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR",
            "identifier": "8001963",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ashley Joann Judd, LPN
• Kevin K.E. Carl, O.D. Dba Eye Clinic
• Kidwell Home

• Intellectual & Developmental Disabilities Psychologist in Versailles, MO
• Providers in Versailles, MO by specialty
• Intellectual & Developmental Disabilities Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.