Provider Demographics
NPI:1669051629
Name:INTENTIONS PSYCHOTHERAPY PC
Entity type:Organization
Organization Name:INTENTIONS PSYCHOTHERAPY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROFESSIONAL
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LMHP, NCC,
Authorized Official - Phone:402-730-6802
Mailing Address - Street 1:1820 FLETCHER AVE APT 116
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1056
Mailing Address - Country:US
Mailing Address - Phone:402-730-6802
Mailing Address - Fax:
Practice Address - Street 1:1820 FLETCHER AVE APT 116
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1056
Practice Address - Country:US
Practice Address - Phone:402-730-6802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty