Integration Healing Alivio Integral LLC

Primary specialty

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

Legal business name

INTEGRATION HEALING ALIVIO INTEGRAL LLC

Practice address

316 N Milwaukee St Ste 325
Milwaukee, WI 53202-5895

Phone

(312) 720-1615

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Ernesto Atkinson, MAAT-LPCNPI 1083140727

Title

Bilingual Art Therapist /LPC

Phone

(312) 720-1615

Specialties & licenses 1

Addresses

Other names 1

• Integration Healing Alivio Integral LLC Former legal business name

Locations

Practitioners 2

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

• Ernesto Atkinson, MA AT

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1083140727
  NPD Authorized official
• Joshua A. Larson, LPC

  • Mental Health Counselor
  • Franklin, WI
  • NPI 1003420597
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1992589089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N MILWAUKEE ST STE 325",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025895",
            "telephone_number": "312-720-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N MILWAUKEE ST STE 325",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025895",
            "telephone_number": "312-720-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATION HEALING ALIVIO INTEGRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "BILINGUAL ART THERAPIST /LPC",
        "authorized_official_telephone_number": "312-720-1615",
        "authorized_official_credential": "MAAT-LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integration Healing Alivio Integral LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.