Provider Demographics
NPI:1033008982
Name:INTRINSIC COUNSELING SERVICES
Entity type:Organization
Organization Name:INTRINSIC COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLENA
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:980-288-4572
Mailing Address - Street 1:14345 SAN PAOLO LN BLDG 5
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3378
Mailing Address - Country:US
Mailing Address - Phone:980-288-4572
Mailing Address - Fax:980-999-8411
Practice Address - Street 1:14345 SAN PAOLO LN BLDG 5
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3378
Practice Address - Country:US
Practice Address - Phone:980-288-4572
Practice Address - Fax:980-999-8411
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARLENA THOMAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-02
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health