Innovate Counseling & Wellness, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

70338 Issued in TX

Legal business name

INNOVATE COUNSELING & WELLNESS, PLLC

Practice address

801 E Plano Pkwy
Ste. 150
Plano, TX 75074-6746

Phone

(214) 952-2455

Fax

(972) 867-6312

NPI assigned

Oct 26, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Ljubisic, LPC, CST

Title

Manager

Phone

(214) 952-2455

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1194277004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E PLANO PKWY",
            "address_2": "STE. 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746746",
            "telephone_number": "214-952-2455",
            "fax_number": "972-867-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E PLANO PKWY",
            "address_2": "STE. 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746746",
            "telephone_number": "214-952-2455",
            "fax_number": "972-867-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATE COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "LJUBISIC",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-952-2455",
        "authorized_official_credential": "LPC, CST"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Plano, TX
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.