Active NPI
Integrative Healing Arts Center
- Community/Behavioral Health Agency
- Eastpointe, MI
National Provider Identifier
1982935029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- INTEGRATIVE HEALING ARTS CENTER
- Practice address
- 23770 Johnston Ave
Eastpointe, MI 48021-3420 - Phone
- (586) 777-1053
- NPI assigned
- Jan 28, 2010
- Organization subpart
- Yes
- Parent organization
- INTEGRATIVE COUNSELING SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimmie Lovell Marbury
- Title
- Owner
- Phone
- (586) 777-1053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MI | Primary |
Addresses
Primary practice location
23770 Johnston Ave
Eastpointe, MI 48021-3420
Mailing address
23770 Johnston Ave
Eastpointe, MI 48021-3420
Phone (586) 777-1053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205435100 | Medicaid | MI |
National Provider Directory
National Provider Directory- Part of
- Integrative Counseling Services LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264636800000",
"number": "1982935029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23770 JOHNSTON AVE",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213420",
"telephone_number": "586-777-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23770 JOHNSTON AVE",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213420",
"telephone_number": "586-777-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALING ARTS CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRATIVE COUNSELING SERVICES",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A",
"authorized_official_last_name": "MARBURY",
"authorized_official_first_name": "JIMMIE",
"authorized_official_middle_name": "LOVELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-777-1053"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205435100",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.