Intentional Living, Llc in Bowie, MD - Medicare Social Worker

Intentional Living, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Bowie, Maryland. The current practice location for Intentional Living, Llc is 16308 Elkhorn Ln, Bowie, Maryland. For appointments, you can reach them via phone at (301) 659-6162. The mailing address for Intentional Living, Llc is 16308 Elkhorn Ln, Bowie, Maryland and phone number is (301) 659-6162.

Intentional Living, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568240604. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (301) 659-6162.

Contact Information

	Intentional Living, Llc
	16308 Elkhorn Ln Bowie MD 20716-3259
	(301) 659-6162
	(443) 331-4441

Map and Direction

Mental Health Clinic Profile

Full Name	Intentional Living, Llc
Speciality	Social Worker
Location	16308 Elkhorn Ln, Bowie, Maryland
Authorized Official Name and Position	Krystle Tinsley (OWNER)
Authorized Official Contact	3016596162
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Intentional Living, Llc 16308 Elkhorn Ln Bowie MD 20716-3259 Ph: (301) 659-6162	Intentional Living, Llc 16308 Elkhorn Ln Bowie MD 20716-3259 Ph: (301) 659-6162

NPI Details:

NPI Number	1568240604
Provider Enumeration Date	09/19/2023
Last Update Date	09/19/2023
Certification Date	09/19/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	7315393923
Medicare Enrollment ID	O20231101003472

Medical Identifiers

Medical identifiers for Intentional Living, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568240604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Intentional Living, Llc acts as a billing entity for following providers:

Provider Name	Krystle Linnette Tinsley
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1003321779 PECOS PAC ID: 8224484837 Enrollment ID: I20231101003516

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Intentional Living, Llc - Medicare Mental Health Clinic in Bowie, MD