Provider Demographics
NPI:1700599511
Name:INTENTIONS BEHAVIOR CONSULTING LLC
Entity type:Organization
Organization Name:INTENTIONS BEHAVIOR CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:BA PSYCHOLOGY
Authorized Official - Phone:920-217-3339
Mailing Address - Street 1:411 HIDDEN HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:DENMARK
Mailing Address - State:WI
Mailing Address - Zip Code:54208-8317
Mailing Address - Country:US
Mailing Address - Phone:920-217-3339
Mailing Address - Fax:
Practice Address - Street 1:411 HIDDEN HOLLOW CT
Practice Address - Street 2:
Practice Address - City:DENMARK
Practice Address - State:WI
Practice Address - Zip Code:54208-8317
Practice Address - Country:US
Practice Address - Phone:920-217-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health