Integrity First Behavioral Services, Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MH 4552 Issued in FL

Legal business name

INTEGRITY FIRST BEHAVIORAL SERVICES, INC

Practice address

223 E Lake Ave
Auburndale, FL 33823-3454

Phone

(863) 967-9000

Fax

(866) 245-1688

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Donishia C. Miller, MMHC

Title

Ceo/Executive

Phone

(863) 967-9000

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1245620541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338231388",
            "telephone_number": "863-967-9000",
            "fax_number": "866-245-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E LAKE AVE",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233454",
            "telephone_number": "863-967-9000",
            "fax_number": "866-245-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY FIRST BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DONISHIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO/EXECUTIVE",
        "authorized_official_telephone_number": "863-967-9000",
        "authorized_official_credential": "MMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4552",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "MH 4552",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "MH 4552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.