Active NPI
Integrated Health & Wellness Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- Belleville, MI
National Provider Identifier
1245823699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INTEGRATED HEALTH & WELLNESS CENTER LLC
- Practice address
- 106 South St
Belleville, MI 48111-2946 - Phone
- (734) 210-3246
- NPI assigned
- Feb 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eucheria Mbata, NP
- Title
- Owner
- Phone
- (734) 210-3246
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
106 South St
Belleville, MI 48111-2946
Mailing address
PO Box 264
Taylor, MI 48180-0264
National Provider Directory
National Provider DirectoryLocations
24634 5 Mile Rd
Ste 23
Redford, MI 48239
Phone (734) 210-3246
Interoperability endpoints
- https://api.platform.athenahealth.com/22717/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1245823699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 264",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481800264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SOUTH ST",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112946",
"telephone_number": "734-210-3246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HEALTH & WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-17",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "MBATA",
"authorized_official_first_name": "EUCHERIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-210-3246",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.