Integrity Mental Resources Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTEGRITY MENTAL RESOURCES CORP

Practice address

306 S 10TH St Ste 340
Haines City, FL 33844-5602

Phone

(786) 443-9749

Fax

(863) 438-7739

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

Victor Pena

Title

Vice President

Phone

(786) 443-9749

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1407465230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S 10TH ST STE 340",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445602",
            "telephone_number": "863-438-7640",
            "fax_number": "863-438-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S 10TH ST STE 340",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445602",
            "telephone_number": "786-443-9749",
            "fax_number": "863-438-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY MENTAL RESOURCES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-443-9749"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.