| Innov8tive Counseling Services | |
|
14403 Michaels Ridge Rd Midlothian VA 23113-6327 | |
| (804) 245-0727 | |
| Not Available |
| Full Name | Innov8tive Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14403 Michaels Ridge Rd, Midlothian, Virginia |
| Authorized Official Name and Position | Richard Curtis Carter (CEO, CITO) |
| Authorized Official Contact | 8042450727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innov8tive Counseling Services 14403 Michaels Ridge Rd Midlothian VA 23113-6327 Ph: (804) 245-0727 | Innov8tive Counseling Services 14403 Michaels Ridge Rd Midlothian VA 23113-6327 Ph: (804) 245-0727 |
| NPI Number | 1902287238 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902287238 | NPI | - | NPPES |
| 042606060129 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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