OrganizationActive
Integration Mental Health LLC
NPI 1134592256 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Greeley, CO
Provider details
- NPI number
- 1134592256
- Entity type
- Organization
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Susan Ponder, Owner(970) 590-1138
- License
- 130627 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1919 65th Ave Ste C
Greeley, CO 80634-7965
Phone: (970) 590-1138
Approximate (ZIP-level) locationGet directions
Mailing address
1919 65th Ave Ste C
Greeley, CO 80634-7965
Registry dates
- Enumerated
- 2015-11-11
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.