Innovation Counseling and Consulting LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INNOVATION COUNSELING AND CONSULTING LLC

Practice address

1000 Corporate Pointe Ste 104
Warner Robins, GA 31088-3439

Phone

(478) 273-0097

Fax

(478) 273-3097

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Princess Nell Byrd

Title

Office Manager

Phone

(478) 662-4456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1912554288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE STE 104",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE STE 104",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883439",
            "telephone_number": "478-273-0097",
            "fax_number": "478-273-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "NELL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-662-4456",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.