Healthcare Provider Details

I. General information

NPI: 1700599511
Provider Name (Legal Business Name): INTENTIONS BEHAVIOR CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 S COMMERCIAL ST STE 202
NEENAH WI
54956-5700
US

IV. Provider business mailing address

307 S COMMERCIAL ST STE 202
NEENAH WI
54956-5700
US

V. Phone/Fax

Practice location:
  • Phone: 920-309-6655
  • Fax:
Mailing address:
  • Phone: 920-309-6655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANA MARIE HUNTER
Title or Position: OWNER
Credential: B.A. PSYCHOLOGY
Phone: 920-217-3339