OrganizationIntegrative Mental Health Services Llc(<Unavail>)CounselorBehavioral Health & Social Service ProvidersPractice Address11811 N Tatum Blvd Ste 3031, Phoenix, AZ 85028-1621(602) 492-1706PECOS EnrollmentBased on the most recent information from CMS, provider Integrative Mental Health Services Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1275025314Provider TypeOrganizationFull NameIntegrative Mental Health Services LlcOther Name<Unavail>SubpartNoEnumeration Date6/5/2018Last Updated12/31/2024Contact InformationPractice LocationPractice Address11811 N Tatum Blvd Ste 3031, Phoenix, AZ 85028-1621Phone(602) 492-1706FaxUnlisted FaxMailing LocationMailing Address11811 N Tatum Blvd Ste 3031, Phoenix, AZ 85028-1621Phone(602) 492-1706FaxUnlisted FaxAuthorized OfficialNameLevi, Daniel (Owner, Clinical Director)Phone(602) 492-1706Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180.010511