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INNOVATIVE CENTERED COUNSELING INC. NPI 1255607271


NPI Information

NPI: 1255607271
Provider Name: INNOVATIVE CENTERED COUNSELING INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1102 SANTA FE TRL
STE 3
DUNCANVILLE, TX
ZIP 75137
Phone: (972) 298-2020
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INNOVATIVE CENTERED COUNSELING INC. is a professional counselor in Duncanville, TX. INNOVATIVE CENTERED COUNSELING INC. NPI is 1255607271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1102 SANTA FE TRL
STE 3
DUNCANVILLE, TX
ZIP 75137-062
Phone: (972) 298-2020
Fax: (972) 298-2020

The provider's authorized official is Moses Chism .
The authorized official title is Director and has the following contact phone number (972) 298-2020.

The enumeration date for this NPI number is 3/23/2012 and was last updated on 3/28/2013.


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
1101YP2500XCounselorProfessional65923TEXASYes

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: 5/5/2024

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