Innovative Wellness Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNOVATIVE WELLNESS SERVICES, LLC

Practice address

2520 Impatien Dr
Charlotte, NC 28215-7739

Phone

(917) 841-7842

NPI assigned

Nov 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Georgina Fiorentino, EDD, LCASANPI 1205304615

Title

Lcasa Counselor/TCM Supervisor

Phone

(917) 841-7842

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Georgina Fiorentino, EDD, LCASA, BT

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1205304615
  NPD Authorized official

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1538029293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 IMPATIEN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157739",
            "telephone_number": "917-841-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 IMPATIEN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157739",
            "telephone_number": "917-841-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "FIORENTINO",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "LCASA COUNSELOR/TCM SUPERVISOR",
        "authorized_official_telephone_number": "917-841-7842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LCASA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Residential Care, LLP
• Innovative Senior Care Home Health of Charlotte LLC
• Innovative Senior Care Home Health of Charlotte LLC
• Innovative Support Services, LLC
• Innovative Therapy Solutions 4 U
• Inpatient Consultants of North Carolina, PC
• Inreach
• Inreach
• Inreach
• Inreach

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.