Organization · Type 2 NPI
Intentional Wellness Therapy, LLC
Mental Health Counselor · La Porte, IN
NPI number
1356255707
Active
Practice location
1905 Indiana Ave
La Porte, IN 46350-6005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1356255707
Intentional Wellness Therapy, LLC's National Provider Identifier is 1356255707, issued on Oct 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Porte, IN. The record was last updated on Oct 1, 2026.