Provider Demographics
NPI:1750273561
Name:WITH INTENTION NEUROPSYCHOLOGICAL AND PSYCHOTHERAPY SERVICES INC.
Entity type:Organization
Organization Name:WITH INTENTION NEUROPSYCHOLOGICAL AND PSYCHOTHERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:909-731-8179
Mailing Address - Street 1:12713 NORWEGIAN ST
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-9275
Mailing Address - Country:US
Mailing Address - Phone:909-731-8179
Mailing Address - Fax:
Practice Address - Street 1:12713 NORWEGIAN ST
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-9275
Practice Address - Country:US
Practice Address - Phone:909-731-8179
Practice Address - Fax:951-268-4650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)