De Integro LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DE INTEGRO LLC

Practice address

187 Belmont Dr
Dothan, AL 36305-6500

Phone

(334) 671-1280

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Jeremiah Garrett Dalton, LPC

Title

Owner

Phone

(334) 796-1485

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1427838580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 PEBBLE CREEK DR",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363604709",
            "telephone_number": "334-796-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 BELMONT DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363056500",
            "telephone_number": "334-671-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE INTEGRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-796-1485",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Dawit, MD
• Amanda Dawkins, M.S., LPC
• Lisa Dawsey-Baker
• Amanda Lynn Day, PA-C
• Terry Dean Day II, D.O.
• Peter De Mola, MD
• Joel Alan Deal, CRT
• Carol Trant Dean, LPCC
• Dasani Dean
• Derek Austin Dean

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dothan, AL
• Providers in Dothan, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.