Samaritan Integrative Services, LLC

Primary specialty

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

Legal business name

SAMARITAN INTEGRATIVE SERVICES, LLC

Practice address

5501 Medical Parkway Dr
Texarkana, TX 75503-4624

Phone

(903) 794-1636

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Delisa Brooks, APRN

Title

Co-Owner

Phone

(903) 269-6466

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1508472655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 MEDICAL PARKWAY DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 MEDICAL PARKWAY DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034624",
            "telephone_number": "903-794-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN INTEGRATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DELISA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "903-269-6466",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Saibu, LPC
• Saldino Prosthetics & Orthotics PLLC
• Michael C Saldino, DPM, CPO
• Samantha Burzynski Counseling PLLC
• Samanya, PLLC
• Janice A Sample, RN, FNP
• Sams East Inc
• Amy Basco Sanders, PTA
• Roberta Lucille Sanders, MD PA
• Michael O Sant, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.