DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: INTENTIONAL WELLNESS AND CONSULTING

MEDICARE: INTENTIONAL WELLNESS AND CONSULTING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1568817674
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTENTIONAL WELLNESS AND CONSULTING
Provider Business Mailing Address
First Line : 937 CHEAT RD
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-5631
Country : US
Telephone Number : 304-288-3504
Fax Number : 304-777-4487
Provider Business Practice Location Address
First Line : 937 CHEAT RD
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-5631
Country : US
Telephone Number : 304-288-3504
Fax Number : 304-777-4487
Authorized Official
Title or Position : OWNER/CLINICAL SOCIAL WORKER
Name : DOLLY SULLIVAN
Credential : LICSW
Telephone Number : 304-216-1195
Provider Enumeration Date : 04/26/2016
Last Update Date : 09/12/2024

Similar Medicare Providers

1568455442 — DR. ALAN L. BARNETT D.O.
Practice Location Address:
933 CHEAT RD
MORGANTOWN, WV
26508-5631
Practice Phone: 304-594-2400
Practice Fax: 304-594-2256
1649251687 — DR. ROBIN W GARRETT D.O.
Practice Location Address:
933 CHEAT RD
MORGANTOWN, WV
26508-5631
Practice Phone: 304-594-2400
Practice Fax: 304-594-2256
1205919917 — LAKESIDE FAMILY PRACTICE PLLC
Practice Location Address:
933 CHEAT RD
MORGANTOWN, WV
26508-5631
Practice Phone: 304-594-2400
Practice Fax: 304-594-2256
1467638882 — DOLLY L SULLIVAN LICSW
Practice Location Address:
937 CHEAT RD
MORGANTOWN, WV
26508-5631
Practice Phone: 304-288-3504
Practice Fax: 304-777-4487
1710255666 — DR. DANIEL GREGORY LONG II PH.D.
Practice Location Address:
933 CHEAT RD
MORGANTOWN, WV
26508-5631
Practice Phone: 304-554-2292
Practice Fax:
1851716633 — DR. LISA F. PLATT PH.D.
Practice Location Address:
933 CHEAT RD
MORGANTOWN, WV
26508-5631
Practice Phone: 304-602-7755
Practice Fax:

Directions to “INTENTIONAL WELLNESS AND CONSULTING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.