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INNOVATIVE SOLUTIONS CONSULTING & COUNSELING GROUP LLC NPI 1548647647


NPI Information

NPI: 1548647647
Provider Name: INNOVATIVE SOLUTIONS CONSULTING & COUNSELING GROUP LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
661 BITTERNUT RD
COLUMBIA, SC
ZIP 29209
Phone: (803) 201-6771
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INNOVATIVE SOLUTIONS CONSULTING & COUNSELING GROUP LLC is a professional counselor in Columbia, SC. INNOVATIVE SOLUTIONS CONSULTING & COUNSELING GROUP LLC NPI is 1548647647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

661 BITTERNUT RD
COLUMBIA, SC
ZIP 29209-407
Phone: (803) 201-6771
Fax: (803) 569-6877

The provider's authorized official is Christina Chante Wildy .
The authorized official title is Owner and has the following contact phone number (803) 201-6771.

The enumeration date for this NPI number is 4/28/2015 and was last updated on 4/28/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor5046SOUTH CAROLINANo
2104100000XSocial Worker7093SOUTH CAROLINANo
3101YP2500XCounselorProfessional6057SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PC1423MEDICAIDSOUTH CAROLINA

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: 4/28/2024

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