Provider Demographics
NPI:1932589546
Name:SENTIENCE INTEGRATED WELLNESS PLLC
Entity Type:Organization
Organization Name:SENTIENCE INTEGRATED WELLNESS PLLC
Other - Org Name:ENTHRIVE NORTH COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LMSW
Authorized Official - Phone:215-801-4107
Mailing Address - Street 1:800 COTTAGEVIEW DR
Mailing Address - Street 2:SUITE 1074
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2616
Mailing Address - Country:US
Mailing Address - Phone:231-492-0808
Mailing Address - Fax:231-492-0808
Practice Address - Street 1:800 COTTAGEVIEW DR
Practice Address - Street 2:SUITE 1074
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2616
Practice Address - Country:US
Practice Address - Phone:231-492-0808
Practice Address - Fax:231-492-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010978591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty