Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrated Lifestyles LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1801121397

Integrated Lifestyles LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

820 Bourn Ave
Columbia, MO 65203-1459
Phone: (573) 445-4409
Fax: (573) 445-4409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X (MO)

Record details

NPI number1801121397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Gilliom — Administrator · (573) 445-4409
NPI enumeratedOctober 16, 2009
Last updated in NPPESOctober 16, 2009
Mailing address820 Bourn Ave, Columbia, MO 65203-1459

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