Provider Demographics
NPI:1538838925
Name:INTEGRATIVE MINDS PLC
Entity type:Organization
Organization Name:INTEGRATIVE MINDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FURY-SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:319-505-5602
Mailing Address - Street 1:3004 CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-1105
Mailing Address - Country:US
Mailing Address - Phone:563-542-2402
Mailing Address - Fax:
Practice Address - Street 1:213 MAIN ST
Practice Address - Street 2:
Practice Address - City:LA PORTE CITY
Practice Address - State:IA
Practice Address - Zip Code:50651-1235
Practice Address - Country:US
Practice Address - Phone:319-505-5602
Practice Address - Fax:319-575-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health