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INTENTIONAL SUPPORT, LLC
NPI 1982428306
Counselor - Mental Health in Boise, ID

Active since November 12, 2024
5840 S MANDOLIN PL, BOISE, ID 83709(208) 371-0641 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Intentional Support, Llc NPPES

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

INTENTIONAL SUPPORT, LLC (NPI 1982428306) is a healthcare organization registered as a mental health in Boise, Idaho and active in the NPI registry since November 2024. The organization lists Katie J Gullickson, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1982428306
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameINTENTIONAL SUPPORT, LLC
Location Address5840 S MANDOLIN PLBoise, ID 83709-6377
Mailing Address5840 S Mandolin PlBoise, ID 83709-6377 · (208) 371-0641
Phone(208) 371-0641
Organization SubpartNo
Authorized OfficialKatie J GullicksonRegistered Agent · (208) 371-0641
Enumeration DateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1982428306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5840 S MANDOLIN PL, Boise, ID 83709
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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

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 Support, LLC's NPI number?

The NPI number for Intentional Support, LLC is 1982428306. It was assigned to this organization in the NPPES registry on November 12, 2024.

Where is Intentional Support, LLC located?

Intentional Support, LLC is located at 5840 S Mandolin Pl, Boise, ID 83709. The listed phone number is (208) 371-0641.

What is Intentional Support, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Intentional Support, LLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.