Integro Counseling LLC

Primary specialty

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

Legal business name

INTEGRO COUNSELING LLC

Practice address

810 Travelers Blvd Ste D2
Summerville, SC 29485-8259

Phone

(843) 212-6406

Fax

(843) 531-9097

NPI assigned

Jan 25, 2021

Last updated

Sep 1, 2021By 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

Mr. Laurie M Tomlin, LPC, NCCNPI 1083181424

Title

Owner

Phone

(843) 212-6405

Specialties & licenses 1

Addresses

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.

• Laurie Michael Tomlin

  • Mental Health Counselor
  • Summerville, SC
  • NPI 1083181424
  NPD Authorized official

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1760072698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50542",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294850542",
            "telephone_number": "843-640-0033",
            "fax_number": "843-531-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 TRAVELERS BLVD STE D2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858259",
            "telephone_number": "843-212-6406",
            "fax_number": "843-531-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRO COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "TOMLIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-212-6405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Summerville, SC
• Providers in Summerville, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.