Innovative Therapy And Consulting, Inc | |
833 Wake Forest Business Park Suite G Wake Forest NC 27587-7184 | |
(919) 554-1231 | |
(919) 554-2406 |
Full Name | Innovative Therapy And Consulting, Inc |
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Speciality | Social Worker - Clinical |
Location | 833 Wake Forest Business Park, Wake Forest, North Carolina |
Authorized Official Name and Position | Lisa Driver (INCORPORATOR) |
Authorized Official Contact | 9195541231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Therapy And Consulting, Inc 833 Wake Forest Business Park Suite G Wake Forest NC 27587-7184 Ph: (919) 554-1231 | Innovative Therapy And Consulting, Inc 833 Wake Forest Business Park Suite G Wake Forest NC 27587-7184 Ph: (919) 554-1231 |
NPI Number | 1083812481 |
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Provider Enumeration Date | 07/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1083812481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5457 (North Carolina) | Primary |
1041C0700X | Social Worker - Clinical | C004553 (North Carolina) | Primary |
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