Organization
INTENTIONAL WELLBEING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTINA LECLAIR PSYD LP (OWNER)
(810) 373-5591
Entity
Organization
Contact information
Practice address
1122 N. LEROY RD, SUITE A, FENTON, MI 48430
(810) 373-5591
Mailing address
1122 N LEROY ST STE A, FENTON, MI 48430-2789
(810) 373-5591
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301015165
MI
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
04/30/2026
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