Organization Active NPI

Integrative Healing Arts Center

  • Community/Behavioral Health Agency
  • Eastpointe, MI
National Provider Identifier
1982935029
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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 SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
205435100MedicaidMI

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.

Verify at the official NPI Registry.