Intentional Healing, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INTENTIONAL HEALING, LLC

Practice address

15 Southlake LN Ste 370
Hoover, AL 35244-3327

Phone

(205) 201-0060

Fax

(833) 853-4391

NPI assigned

Jul 1, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela Dannette Bivins, LPC-,LMFT,NCC, JSOCCNPI 1558817999

Title

Owner/ Therapist

Phone

(205) 201-0060

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Dannette Bivins, LPC-S,LMFT,NCC,JSOCC

  • Professional Counselor
  • Hoover, AL
  • NPI 1558817999

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1245892249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SOUTHLAKE LN STE 370",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443327",
            "telephone_number": "205-201-0060",
            "fax_number": "833-853-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTHLAKE LN STE 370",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443327",
            "telephone_number": "205-201-0060",
            "fax_number": "833-853-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BIVINS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DANNETTE",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "205-201-0060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-,LMFT,NCC, JSOCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hoover, AL
• Providers in Hoover, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.