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

Intentional Support, LLC

Organization Mental Health Counselor · NPI 1982428306

Intentional Support, LLC is a Mental Health Counselor in Boise, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5840 S Mandolin Pl
Boise, ID 83709-6377
Phone: (208) 371-0641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1982428306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Gullickson — Registered Agent · (208) 371-0641
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address5840 S Mandolin Pl, Boise, ID 83709-6377

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