Innovative Community Resources Nc Inc in Charlotte - Mental Health

Innovative Community Resources Nc Inc - NPI 1326249434

Innovative Community Resources Nc Inc is a Mental Health in Charlotte, North Carolina. Innovative Community Resources Nc Inc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Innovative Community Resources Nc Inc is 1326249434. The last update date is 2020-08-22.

Innovative Community Resources Nc Inc's current location address is 5736 N Tryon St Ste 200, Charlotte, North Carolina. You can contact this provider via phone number 7049216777 and fax number 7045092220. The mailing address for Innovative Community Resources Nc Inc is 5736 N Tryon St Ste 200, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Innovative Community Resources Nc Inc
Address 5736 N Tryon St Ste 200, Charlotte, North Carolina
Phone Number 7049216777
Fax Number 7045092220
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Tillman I Loretta
Credentials MA
Telephone Number 7049216777

NPI Number Detail

NPI Number 1326249434
Provider Enumeration Date 2007-05-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5736 N Tryon St Ste 200
City Charlotte
State North Carolina (NC)
Post Code 282130820
Phone Number 7049216777
Fax Number 7045092220

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 3411
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Innovative Community Resources Nc Inc

What is the unique identifier code issued to Innovative Community Resources Nc Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Innovative Community Resources Nc Inc has been assigned the NPI (National Provider Identifier) 1326249434. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Innovative Community Resources Nc Inc is located?

The Innovative Community Resources Nc Inc is situated at the following address: 5736 N Tryon St Ste 200, Charlotte, NC, 282130820.

What is Innovative Community Resources Nc Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Innovative Community Resources Nc Inc is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.

When did Innovative Community Resources Nc Inc receive its 1326249434 assignment?

The Innovative Community Resources Nc Inc was assigned its 1326249434 on 2007-05-29, which is the date when this unique identifier was issued to the organization.

When was the information related to Innovative Community Resources Nc Inc most recently updated or refreshed?

The details pertaining to the Innovative Community Resources Nc Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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