Organization · Type 2 NPI
Intentional Wellness PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Springfield, IL
NPI number
1407629066
Active
Practice location
2501 Chatham Rd # 8191
Springfield, IL 62704-4188
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 1407629066
Intentional Wellness PLLC's National Provider Identifier is 1407629066, issued on Nov 3, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Springfield, IL. The record was last updated on Nov 3, 2023.