Organization Active NPI

Intentional Healing Therapeutic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1467286203
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INTENTIONAL HEALING THERAPEUTIC SERVICES LLC
Practice address
701 N 67TH St FL 2
Philadelphia, PA 19151-3615
Phone
(201) 293-8875
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Sharae Hunter, LCSWNPI 1124852959
Title
Clinical Social Worker/Ceo
Phone
(215) 313-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

701 N 67TH St FL 2
Philadelphia, PA 19151-3615

Mailing address

701 N 67TH St FL 2
Philadelphia, PA 19151-3615
Phone (201) 293-8875

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1467286203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 67TH ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513615",
            "telephone_number": "201-293-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 67TH ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513615",
            "telephone_number": "201-293-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL HEALING THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "SHARAE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/CEO",
        "authorized_official_telephone_number": "215-313-7200",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.