Organization
INTENTIONAL HEALING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA SUTTLES PLMHP (MENTAL HEALTH THERAPIST)
(402) 594-8069
Entity
Organization
Contact information
Practice address
5858 WENNINGHOFF RD STE 3, OMAHA, NE 68134-1911
(402) 594-8069
Mailing address
3127 MAPLEWOOD BLVD APT 28, OMAHA, NE 68134-5438
(402) 594-8069
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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