Provider Demographics
NPI:1609299593
Name:INTIMATEMATTERS,PLLC
Entity Type:Organization
Organization Name:INTIMATEMATTERS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURBYFILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-587-8321
Mailing Address - Street 1:923 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-5526
Mailing Address - Country:US
Mailing Address - Phone:214-587-8321
Mailing Address - Fax:
Practice Address - Street 1:923 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3776
Practice Address - Country:US
Practice Address - Phone:214-587-8321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63274101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty