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Contact Information

INTENTIONAL HEALTHCARE, LLC
201 STOVEPIPE ALLY ROAD
MONROE, ME04951
 Phone: 404-451-1271
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for INTENTIONAL HEALTHCARE LLC · (Female)

NPI Number 1891652673
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2026
Last updated 01/05/2026 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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