| Becoming Intentional, Llc | |
|
6502 Morris Rd Pittsville MD 21850-2160 | |
| (410) 896-1198 | |
| (410) 709-6555 |
| Full Name | Becoming Intentional, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6502 Morris Rd, Pittsville, Maryland |
| Authorized Official Name and Position | Kelly Michelle Beeseck (THERAPIST/ OWNER) |
| Authorized Official Contact | 4433977742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becoming Intentional, Llc 6502 Morris Rd Pittsville MD 21850-2160 Ph: (410) 896-1198 | Becoming Intentional, Llc 6502 Morris Rd Pittsville MD 21850-2160 Ph: (410) 896-1198 |
| NPI Number | 1598576654 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598576654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |