Provider Demographics
NPI:1942658802
Name:INTELLIHEALTH LLC
Entity Type:Organization
Organization Name:INTELLIHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANAE
Authorized Official - Middle Name:S
Authorized Official - Last Name:PUFTA-O'LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-238-0266
Mailing Address - Street 1:5380 GULF OF MEXICO DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LONGBOAT KEY
Mailing Address - State:FL
Mailing Address - Zip Code:34228-2048
Mailing Address - Country:US
Mailing Address - Phone:941-238-0266
Mailing Address - Fax:
Practice Address - Street 1:5380 GULF OF MEXICO DR
Practice Address - Street 2:SUITE 105
Practice Address - City:LONGBOAT KEY
Practice Address - State:FL
Practice Address - Zip Code:34228-2048
Practice Address - Country:US
Practice Address - Phone:941-238-0266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty