| Intentional Wellness And Consulting | |
|
937 Cheat Rd Morgantown WV 26508-5631 | |
| (304) 288-3504 | |
| (304) 777-4487 |
| Full Name | Intentional Wellness And Consulting |
|---|---|
| Speciality | Social Worker |
| Location | 937 Cheat Rd, Morgantown, West Virginia |
| Authorized Official Name and Position | Dolly Sullivan (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3042161195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Wellness And Consulting 937 Cheat Rd Morgantown WV 26508-5631 Ph: (304) 288-3504 | Intentional Wellness And Consulting 937 Cheat Rd Morgantown WV 26508-5631 Ph: (304) 288-3504 |
| NPI Number | 1568817674 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 4284928086 |
|---|---|
| Medicare Enrollment ID | O20160802001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568817674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dolly Lee Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467638882 PECOS PAC ID: 5193019990 Enrollment ID: I20160802001448 |
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