| NPI | 1265264642 |
|---|---|
| Doing Business As | INTENTIONAL HEALING |
| Entity Type | Organization |
| Authorized Contact | ELISHA SUTTLES Founder 402-915-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |