| Intentional Mental Wellness, Pllc | |
|
7438 W Meadow Lark Ln Rathdrum ID 83858-8170 | |
| (509) 953-1866 | |
| Not Available |
| Full Name | Intentional Mental Wellness, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7438 W Meadow Lark Ln, Rathdrum, Idaho |
| Authorized Official Name and Position | Sonya Dee Williams (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5099531866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Mental Wellness, Pllc 7438 W Meadow Lark Ln Rathdrum ID 83858-8170 Ph: (509) 953-1866 | Intentional Mental Wellness, Pllc 7438 W Meadow Lark Ln Rathdrum ID 83858-8170 Ph: (509) 953-1866 |
| NPI Number | 1225983786 |
|---|---|
| Provider Enumeration Date | 03/02/2026 |
| Last Update Date | 03/02/2026 |
| Certification Date | 03/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225983786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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