Organization
INTENTIONAL WELLNESS AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLY SULLIVAN LICSW (OWNER/CLINICAL SOCIAL WORKER)
(304) 216-1195
Entity
Organization
Contact information
Practice address
937 CHEAT RD, MORGANTOWN, WV 26508-5631
(304) 288-3504
(304) 777-4487
Mailing address
937 CHEAT RD, MORGANTOWN, WV 26508-5631
(304) 288-3504
(304) 777-4487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
09/12/2024
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