# INTENTIONAL MENTAL HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366280026
- **Authorized official:** JESSICA QURESHI (OWNER, THERAPIST)
- **Authorized official phone:** (240) 434-3891

## Contact information

- **Practice address:** 2018 PATAPSCO GLEN RD, BALTIMORE, MD 21244-1696
- **Practice address phone:** (240) 434-3891
- **Mailing address:** 2018 PATAPSCO GLEN RD, BALTIMORE, MD 21244-1696
- **Mailing address phone:** (240) 434-3891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 07/17/2024