Healthcare Provider Details

I. General information

NPI: 1811824766
Provider Name (Legal Business Name): INTENTIONAL HEALING ESSENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3314 FIELDVIEW AVE
WEST BLOOMFIELD MI
48324-2738
US

IV. Provider business mailing address

101 AUSTIN BLVD STE 600 PMB 1051
RED OAK TX
75154
US

V. Phone/Fax

Practice location:
  • Phone: 313-595-1210
  • Fax:
Mailing address:
  • Phone:
  • 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: BRITTANY JONES
Title or Position: OWNER
Credential: LCSW
Phone: 313-595-1210