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

Intentional Wellness Psychotherapy, PLLC

Organization Clinical Social Worker · NPI 1114881059

Intentional Wellness Psychotherapy, PLLC provides Clinical Social Worker services in Southfield, Michigan. Registered with an NPI since 2025.

In the registry since
2025
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

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023
Phone: (269) 359-0759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1114881059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kate Fitzsimons — Clinical Social Worker/Owner · (269) 359-0759
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 12, 2025
Mailing address29532 Southfield Rd Ste 115, Southfield, MI 48076-2023

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