Organization · Type 2 NPI
Intentional Impact LMSW PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Rochester, NY
NPI number
1154903540
Active
Practice location
1350 Buffalo Rd Ste 18
Rochester, NY 14624-1856
Mailing address
547 Cedarwood Ter
Rochester, NY 14609-7154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1154903540
Intentional Impact LMSW PLLC's National Provider Identifier is 1154903540, issued on Apr 25, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Rochester, NY. The record was last updated on Apr 25, 2021.