| Innovative Enrichment Services, Llc | |
|
1932 Kempsville Rd Ste 106 Virginia Beach VA 23464-6953 | |
| (757) 576-5592 | |
| Not Available |
| Full Name | Innovative Enrichment Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1932 Kempsville Rd Ste 106, Virginia Beach, Virginia |
| Authorized Official Name and Position | Teisha Grant-still (CEO) |
| Authorized Official Contact | 7575765592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Enrichment Services, Llc 1609 Venetian Way Chesapeake VA 23322-6998 Ph: (757) 576-5592 | Innovative Enrichment Services, Llc 1932 Kempsville Rd Ste 106 Virginia Beach VA 23464-6953 Ph: (757) 576-5592 |
| NPI Number | 1538678669 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538678669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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