| Intentional Healing, Llc | |
|
15 Southlake Ln Ste 370 Hoover AL 35244-3327 | |
| (205) 201-0060 | |
| (833) 853-4391 |
| Full Name | Intentional Healing, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15 Southlake Ln Ste 370, Hoover, Alabama |
| Authorized Official Name and Position | Pamela Dannette Bivins (OWNER/ THERAPIST) |
| Authorized Official Contact | 2052010060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Healing, Llc 15 Southlake Ln Ste 370 Hoover AL 35244-3327 Ph: (205) 201-0060 | Intentional Healing, Llc 15 Southlake Ln Ste 370 Hoover AL 35244-3327 Ph: (205) 201-0060 |
| NPI Number | 1245892249 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245892249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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