| Intentional Therapy Llc | |
|
207 Dahlia Dr Mahopac NY 10541-3738 | |
| (347) 624-7318 | |
| Not Available |
| Full Name | Intentional Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 207 Dahlia Dr, Mahopac, New York |
| Authorized Official Name and Position | Katherine Cruz (OWNER) |
| Authorized Official Contact | 3476247318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Therapy Llc 207 Dahlia Dr Mahopac NY 10541-3738 Ph: (347) 624-7318 | Intentional Therapy Llc 207 Dahlia Dr Mahopac NY 10541-3738 Ph: (347) 624-7318 |
| NPI Number | 1932914033 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932914033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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