OrganizationActive
Intentional Mental Health & Wellness PLLC
NPI 1336923606 · Professional Counselor · Joaquin, TX
Provider details
- NPI number
- 1336923606
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lauren Bonner, Authorized Official(936) 657-8023
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9626 State Highway 7 E
Joaquin, TX 75954-3986
Phone: (936) 657-8023
Approximate (ZIP-level) locationGet directions
Mailing address
415 County Road 3794
Joaquin, TX 75954-2401
Additional practice locations (1)
- 415 County Road 3794Joaquin, TX 75954-2401Phone: (936) 657-8023
Registry dates
- Enumerated
- 2023-08-18
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.