Integrative Behavioral Health Partners, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTEGRATIVE BEHAVIORAL HEALTH PARTNERS, LLC

Practice address

2020 W Pinhook Rd
Suite 402
Lafayette, LA 70508-3290

Phone

(337) 412-8048

NPI assigned

Mar 10, 2017

Last updated

May 8, 2017By 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

Stacey Willson, LCSWNPI 1134177678

Title

Clinical Director

Phone

(337) 412-8048

Specialties & licenses 2

Addresses

Other names 1

• IBHP, LLC Former legal business name

Locations

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.

• Stacey Grace Willson, LCSW

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1134177678
  Authorized official Same address or phone

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1306387378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W PINHOOK RD",
            "address_2": "SUITE 400",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083290",
            "telephone_number": "337-412-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W PINHOOK RD",
            "address_2": "SUITE 402",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083290",
            "telephone_number": "337-412-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BEHAVIORAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "337-412-8048",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBHP, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.