INTEGRATED NEUROSCIENCE, LLC - NPI 1740580315 - Counselor in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Integrated Neuroscience, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED NEUROSCIENCE, LLC (NPI 1740580315) is a healthcare organization registered as an addiction (substance use disorder) in Saint Louis, Missouri and active in the NPI registry since October 2010. The organization lists John Palmer Crum, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1740580315

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameINTEGRATED NEUROSCIENCE, LLC

Location Address11477 OLDE CABIN RD, SUITE 210Saint Louis, MO 63141-7130

Mailing Address11477 Olde Cabin Rd, Suite 210Saint Louis, MO 63141-7130 · (314) 997-2296 · Fax (314) 997-5368

Phone(314) 997-2296

Fax(314) 997-5368

Organization SubpartNo

Authorized OfficialJohn Palmer CrumClinical Director · (314) 997-2296

Enumeration DateOctober 28, 2010

✔ NPI 1740580315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MO · 2007012895

11477 OLDE CABIN RD, Saint Louis, MO 63141

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP