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INTENTIONAL LIFE THERAPY
NPI 1265180285
Social Worker - Clinical in Bowling Green, OH

Active since March 17, 2022
10951 E GYPSY LANE RD, BOWLING GREEN, OH 43402(419) 913-4255 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Intentional Life Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTENTIONAL LIFE THERAPY (NPI 1265180285) is a healthcare organization registered as a clinical in Bowling Green, Ohio and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Bowling Green and lists Nicole Flores-mccune, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1265180285
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTENTIONAL LIFE THERAPY
Location Address10951 E GYPSY LANE RDBowling Green, OH 43402-9565
Mailing Address9895 Huffman RdPortage, OH 43451-9739 · (419) 913-4255
Phone(419) 913-4255
Organization SubpartNo
Authorized OfficialNicole Flores-mccuneOwner/provider · (419) 913-4255
Enumeration DateMarch 17, 2022
Last NPPES UpdateApril 25, 2022
NPPES CertifiedApril 25, 2022
✔ NPI 1265180285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10951 E GYPSY LANE RD, Bowling Green, OH 43402
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Secondary Practice Location 1

Location 1200 N Summit StBowling Green, OH 43402-2527 · Phone (419) 913-4255

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE FLORES-MCCUNE LISW-S
Social Worker (Clinical)
10951 E GYPSY LANE RD
BOWLING GREEN, OH 43402
Wood County (419) 913-4255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intentional Life Therapy's NPI number?

The NPI number for Intentional Life Therapy is 1265180285. It was assigned to this organization in the NPPES registry on March 17, 2022.

Where is Intentional Life Therapy located?

Intentional Life Therapy is located at 10951 E Gypsy Lane Rd, Bowling Green, OH 43402. The listed phone number is (419) 913-4255.

What is Intentional Life Therapy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Intentional Life Therapy accept?

Health plans from Anthem Blue Cross and Blue Shield list Intentional Life Therapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Intentional Life Therapy was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.