| Innovation Counseling Services | |
|
955 W Wade Hampton Blvd Ste 3b Greer SC 29650-1296 | |
| (864) 334-5019 | |
| (864) 432-2195 |
| Full Name | Innovation Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 955 W Wade Hampton Blvd Ste 3b, Greer, South Carolina |
| Authorized Official Name and Position | Shakeista Spunette Hawkins (PRESIDENT) |
| Authorized Official Contact | 8649781148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Counseling Services 955 W Wade Hampton Blvd Ste 3b Greer SC 29650-1296 Ph: (864) 334-5019 | Innovation Counseling Services 955 W Wade Hampton Blvd Ste 3b Greer SC 29650-1296 Ph: (864) 334-5019 |
| NPI Number | 1457993123 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 9830515535 |
|---|---|
| Medicare Enrollment ID | O20200812001224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457993123 | NPI | - | NPPES |
| Provider Name | Martrell D Kelly John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003467267 PECOS PAC ID: 6103242805 Enrollment ID: I20200812001690 |
| Provider Name | Adrian Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811495120 PECOS PAC ID: 4082011820 Enrollment ID: I20210923000794 |
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