Healthcare Provider Details

I. General information

NPI: 1366368078
Provider Name (Legal Business Name): INTRINSICALLY ANCHORED THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 RAINBOW DR STE E552
RAINBOW CITY AL
35906-6205
US

IV. Provider business mailing address

1812 MCKINLEY ST
GADSDEN AL
35904-4843
US

V. Phone/Fax

Practice location:
  • Phone: 256-399-1186
  • Fax:
Mailing address:
  • Phone: 256-399-1186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AREA NICOLE BRITTON
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LICSW
Phone: 256-399-1186