INNOVATION COUNSELING CENTER NPI 1164818217

NPI Information

NPI: 1164818217
Provider Name: INNOVATION COUNSELING CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
9951 ATLANTIC BLVD
442
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 274-6255
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INNOVATION COUNSELING CENTER is a mental health counselor in Jacksonville, FL. INNOVATION COUNSELING CENTER NPI is 1164818217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9951 ATLANTIC BLVD
442
JACKSONVILLE, FL
ZIP 32225-584
Phone: (904) 274-6255

The provider's authorized official is Angela Malone .
The authorized official title is Ceo and has the following contact phone number (904) 719-1043.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 11/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH13087	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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