| Intentional Sustainable Wellness | |
|
4127 Nord Hwy Chico CA 95973-9631 | |
| (612) 723-6417 | |
| Not Available |
| Full Name | Intentional Sustainable Wellness |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4127 Nord Hwy, Chico, California |
| Authorized Official Name and Position | Lori L Lariviere (FOUNDER, PSYCHIATRY DIRECTOR) |
| Authorized Official Contact | 6127236417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Sustainable Wellness 4127 Nord Hwy Chico CA 95973-9631 Ph: (612) 723-6417 | Intentional Sustainable Wellness 4127 Nord Hwy Chico CA 95973-9631 Ph: (612) 723-6417 |
| NPI Number | 1548906803 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548906803 | NPI | - | NPPES |
| 553997 | Other | CA | CALIFORNIA MEDICAL BOARD FICTITIOUS NAME PERMIT (FNP) |
| 4571750 | Other | CA | ENTITY (FILE) NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Fee For Service Psychiatrist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3217 Cohasset Rd, Chico, CA 95973 Phone: 530-891-2980 Fax: 530-895-6548 | |
Fee For Service Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3217 Cohasset Rd, Chico, CA 95973 Phone: 530-891-2980 | |
Tula Therapy By Emma Todd Licensed Clinical Social Worker Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Connors Ct Ste C, Chico, CA 95926 Phone: 530-366-0755 | |
Patients Rights Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Parmac Rd, Suite 2, Chico, CA 95926 Phone: 530-343-1731 | |
Rio Towers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 572 Rio Lindo Ave, Suite 206, Chico, CA 95926 Phone: 530-894-5933 Fax: 530-894-5791 | |
Butte County Aso Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Parmac Rd, Suite 1, Chico, CA 95926 Phone: 530-891-2980 Fax: 530-895-6548 | |
Francis Patrick Mcdermott, Jr. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Humboldt Rd, Suite 3, Chico, CA 95928 Phone: 530-899-3370 Fax: 530-894-4030 |