Integralife Health & Trauma Institute, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTEGRALIFE HEALTH & TRAUMA INSTITUTE, LLC

Practice address

12730 Heacock St
Suite 7
Moreno Valley, CA 92553-3070

Phone

(951) 221-3460

Fax

(951) 924-0250

NPI assigned

Apr 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Blessing A. Okoro Rellias, PH.D.NPI 1902087778

Title

President & Ceo

Phone

(951) 221-3460

Specialties & licenses 7

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blessing A. Okoro Rellias, PH.D.

  • Marriage & Family Therapist
  • Moreno Valley, CA
  • NPI 1902087778

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1760869770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST",
            "address_2": "SUITE 7",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533070",
            "telephone_number": "951-221-3460",
            "fax_number": "951-924-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST",
            "address_2": "SUITE 7",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533070",
            "telephone_number": "951-221-3460",
            "fax_number": "951-924-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRALIFE HEALTH & TRAUMA INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "OKORO RELLIAS",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "951-221-3460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Empire Cardiology Faculty Medical Association Inc
• Inland Empire Foot Doctors, Inc
• Inland Empire Wound Care & Infusion Center
• Inland Psychiatric Medical Group, Inc.
• Inner Workings Transport LLC
• Integrated Care Communities, Inc.
• Zeeruk Iqbal, MD
• Noel M Isaac
• Mubina Aziz Isani, MD
• Mario Iskander

• Community/Behavioral Health Agency in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.