Organization
INTENTIONAL LIVING, LLC
Active
Other names
INTENTIONAL LIVING, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE TINSLEY (OWNER)
(301) 659-6162
Entity
Organization
Contact information
Practice address
16308 ELKHORN LN, BOWIE, MD 20716-3259
(301) 659-6162
(443) 331-4441
Mailing address
16308 ELKHORN LN, BOWIE, MD 20716-3259
(301) 659-6162
(443) 331-4441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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