OrganizationActive
Intentional Mental Wellness, PLLC
NPI 1225983786 · Adult Mental Health Clinic/Center · Rathdrum, ID
Provider details
- NPI number
- 1225983786
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sonya Williams, Authorized Official(509) 953-1866
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7438 W Meadow Lark Ln
Rathdrum, ID 83858-8170
Phone: (509) 953-1866
Approximate (ZIP-level) locationGet directions
Mailing address
7438 W Meadow Lark Ln
Rathdrum, ID 83858-8170
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.