Intentional Self. LLC
Community/Behavioral Health in Stoughton, Massachusetts
1972924371- Practice location
- 6 Cabot Pl, Suite # 6, Stoughton, MA 02072-4625
- Phone
- 781-767-0008
- Fax
- —
- Last updated
- January 2, 2014
Intentional Self. LLC is a healthcare organization based in Stoughton, MA. Intentional Self. LLC practices in Stoughton, MA. The NPI Number for Intentional Self. LLC is 1972924371 and holds a License No. 5509 (MA). The current practice location address for Intentional Self. LLC is 6 Cabot Pl, Suite # 6, Stoughton, MA 02072-4625 and can be reached out via phone at 781-767-0008.
Provider Profile Details
- NPI Number
- 1972924371
- Provider Name
- Intentional Self. LLC
- Provider Entity Type
- Organization
- Address
- 6 Cabot Pl, Suite # 6, Stoughton, MA 02072-4625
- Phone Number
- 781-767-0008
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Sandra C Range, LMHC · Owner · 781-767-0008
- Provider Enumeration Date
- January 2, 2014
- Last Update Date
- January 2, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Cabot Pl
Suite # 6
Stoughton, MA 02072-4625 - City
- Stoughton
- State
- Massachusetts
- Zip
- 02072-4625
- Phone Number
- 781-767-0008
Provider Business Mailing Address Details
- Address
- 141 Memorial Pkwy
Pmb 211
Randolph, MA 02368-4511 - City
- Randolph
- State
- MA
- Zip
- 02368-4511
- Phone Number
- 781-767-0008
License Information
- License Number
- 5509
- License State
- MA
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Intentional Self. LLC?
The NPI number of Intentional Self. LLC is 1972924371. It was assigned on January 2, 2014 and is currently active in the NPPES registry.
What is the specialty of Intentional Self. LLC?
Intentional Self. LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in MA under license number 5509.
Where does Intentional Self. LLC practice?
The practice location is 6 Cabot Pl, Suite # 6, Stoughton, MA 02072-4625. The office can be reached at 781-767-0008 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972924371 directly on the NPPES registry website.