| Intentional Growth Llc | |
|
5360 Holiday Ter Suite 18 Kalamazoo MI 49009-2126 | |
| (269) 760-6236 | |
| Not Available |
| Full Name | Intentional Growth Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5360 Holiday Ter, Kalamazoo, Michigan |
| Authorized Official Name and Position | Marnie Sue Thomas (MANAGING MEMBER) |
| Authorized Official Contact | 2694471211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Growth Llc 5360 Holiday Ter Suite 18 Kalamazoo MI 49009-2126 Ph: (269) 447-1211 | Intentional Growth Llc 5360 Holiday Ter Suite 18 Kalamazoo MI 49009-2126 Ph: (269) 760-6236 |
| NPI Number | 1407396286 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 09/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407396286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401012521 (Michigan) | Primary |
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