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

Intentional Wellness Psychotherapy LCSW PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1043088081

Intentional Wellness Psychotherapy LCSW PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 W 45th St Ste 302
New York, NY 10036-4904
Phone: (347) 998-4206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1043088081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Gottheimer — Executive Officer · (347) 998-4206
NPI enumeratedDecember 19, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address635 Riverside Dr Apt 6c, New York, NY 10031-7118

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