Provider Demographics
NPI:1992466734
Name:INTRINSIC HEALTH & WELLNESS SOLUTIONS, LLC
Entity type:Organization
Organization Name:INTRINSIC HEALTH & WELLNESS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LETITIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOHNSON-ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CHES, NBC-HWC
Authorized Official - Phone:984-444-9533
Mailing Address - Street 1:1722 ELLIE AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-8579
Mailing Address - Country:US
Mailing Address - Phone:984-444-9533
Mailing Address - Fax:
Practice Address - Street 1:1722 ELLIE AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-8579
Practice Address - Country:US
Practice Address - Phone:984-444-9533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty