INNOVATION COUNSELING CENTER NPI 1164818217

NPI Information

  • NPI: 1164818217
  • Provider Name: INNOVATION COUNSELING CENTER
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 9951 ATLANTIC BLVD
    442
    JACKSONVILLE, FL
    ZIP 32225
  • Phone: (904) 274-6255

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NPI Details

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
1101YM0800XCounselorMental HealthMH13087FLORIDAYes

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: 11/21/2025

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