| Intentional Wellness Pllc | |
|
2501 Chatham Rd # 8191 Springfield IL 62704-4188 | |
| (815) 545-3778 | |
| Not Available |
| Full Name | Intentional Wellness Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2501 Chatham Rd # 8191, Springfield, Illinois |
| Authorized Official Name and Position | Reed Allen (LCPC) |
| Authorized Official Contact | 8155453778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Wellness Pllc 2501 Chatham Rd # 8191 Springfield IL 62704-4188 Ph: () - | Intentional Wellness Pllc 2501 Chatham Rd # 8191 Springfield IL 62704-4188 Ph: (815) 545-3778 |
| NPI Number | 1407629066 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407629066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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