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Contact Information

INTENTIONAL WELLBEING LLC
1122 N. LEROY RD
SUITE A
FENTON, MI48430
 Phone: 810-373-5591
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for INTENTIONAL WELLBEING LLC

NPI Number 1366994410
LBN Legal business name INTENTIONAL WELLBEING LLC
Authorized official CRISTINA LECLAIR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2016
Last updated 04/30/2026 - About a month ago
Identifiers
MI License # 6301015165
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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