Organization
INTENTIONAL HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA DANNETTE BIVINS LPC-,LMFT,NCC, JSOCC (OWNER/ THERAPIST)
(205) 201-0060
Entity
Organization
Contact information
Practice address
15 SOUTHLAKE LN STE 370, HOOVER, AL 35244-3327
(205) 201-0060
(833) 853-4391
Mailing address
15 SOUTHLAKE LN STE 370, HOOVER, AL 35244-3327
(205) 201-0060
(833) 853-4391
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/01/2019
Last updated
05/01/2024
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