Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intentional Life Therapy

Organization Clinical Social Worker · NPI 1265180285

Intentional Life Therapy is a Clinical Social Worker in Bowling Green, Ohio. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

10951 E Gypsy Lane Rd
Bowling Green, OH 43402-9565
Phone: (419) 913-4255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 N Summit St, Bowling Green, OH 43402-2527 — (419) 913-4255

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1265180285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Flores-McCune — Owner/Provider · (419) 913-4255
NPI enumeratedMarch 17, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address9895 Huffman Rd, Portage, OH 43451-9739

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