Provider Demographics
NPI:1609654631
Name:INTEGRATED HEALTH RECOVERY SOLUTIONS
Entity type:Organization
Organization Name:INTEGRATED HEALTH RECOVERY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERHOW
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, EMBA
Authorized Official - Phone:703-209-5092
Mailing Address - Street 1:7837 SEAFARER WAY
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2137
Mailing Address - Country:US
Mailing Address - Phone:703-209-5092
Mailing Address - Fax:
Practice Address - Street 1:7837 SEAFARER WAY
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2137
Practice Address - Country:US
Practice Address - Phone:703-209-5092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty