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General NPI Number Information
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NPI Number | 1437070604
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Entity Type | Organization
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Legal Business Name | INTENTFUL CARE LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 2750 E WT HARRIS BLVD STE 120
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City | CHARLOTTE
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State | NC
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Zip | 28213-0034
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Country | US
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Telephone | 227-263-3435
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Fax |
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Provider Business Mailing Address
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Address Line | 3340 ROBINWOOD RD 100-499
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City | GASTONIA
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State | NC
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Zip | 28054-6689
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Country | US
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Telephone | 227-263-3435
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Fax | 227-263-3435
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY TIANNA SPENCER
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Credential |
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Telephone | 227-263-3435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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