Integrated Trauma Therapies LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1007 Issued in SC

Legal business name

INTEGRATED TRAUMA THERAPIES LLC

Practice address

9711 Garners Ferry Rd
Hopkins, SC 29061-9148

Phone

(803) 462-1313

NPI assigned

Jan 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. Paulette Muni, PH.D.

Title

President

Phone

(803) 462-1313

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1912397928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23794",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292243794",
            "telephone_number": "803-462-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 GARNERS FERRY RD",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290619148",
            "telephone_number": "803-462-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED TRAUMA THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "MUNI",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-462-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1007",
            "primary": true
        },
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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