Innovative Concepts | |
9625 David Taylor Dr # 120a Charlotte NC 28262-2362 | |
(704) 533-5168 | |
Not Available |
Full Name | Innovative Concepts |
---|---|
Speciality | Counselor - Professional |
Location | 9625 David Taylor Dr # 120a, Charlotte, North Carolina |
Authorized Official Name and Position | Nadine Roberts (CEO) |
Authorized Official Contact | 7045335168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Innovative Concepts 133 Weavers Glenn Pl Charlotte NC 28262-1698 Ph: (704) 533-5168 | Innovative Concepts 9625 David Taylor Dr # 120a Charlotte NC 28262-2362 Ph: (704) 533-5168 |
NPI Number | 1942651724 |
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Provider Enumeration Date | 06/23/2016 |
Last Update Date | 03/11/2024 |
Certification Date | 01/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942651724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | A12126 (North Carolina) | Primary |
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