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Contact Information

INTEGRATED BEHAVIORAL HEALTH, INC.
600 SUN TEMPLE DRIVE
MADISON, AL35758-5919
 Phone: 256-288-3333
 Fax: 256-288-3334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Family

363LF0000X 50 Nurse Practitioner
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for INTEGRATED BEHAVIORAL HEALTH, INC.

NPI # 1730522699
LBN Legal business name INTEGRATED BEHAVIORAL HEALTH, INC.
Authorized official SHARA BLACKWELL - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2013
Last updated 12/15/2025 - About 6 months ago
Identifiers
AL Medicaid 150612
MS Medicaid 200017232
TN Medicaid Q002248
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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