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INNOVATIVE COUNSELING OF MISSISSIPPI, PLLC
NPI 1184328890
Counselor - Mental Health in Jackson, MS

Active since March 28, 2023
4780 1-55 N, SUITE 100-103, JACKSON, MS 39211(601) 708-9558 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2023, Mar 28, 2023 (2 updates tracked since 2023).

About Innovative Counseling Of Mississippi, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE COUNSELING OF MISSISSIPPI, PLLC (NPI 1184328890) is a healthcare organization registered as a mental health in Jackson, Mississippi and active in the NPI registry since March 2023. The organization lists Sarah Marie Pradillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1184328890
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameINNOVATIVE COUNSELING OF MISSISSIPPI, PLLC
Location Address4780 1-55 N, SUITE 100-103Jackson, MS 39211
Mailing Address115 Bellegrove BlvdBrandon, MS 39047-6625
Phone(601) 708-9558
Organization SubpartNo
Authorized OfficialSarah Marie PradilloOwner · (601) 708-9558
Enumeration DateMarch 28, 2023
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1184328890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4780 1-55 N, Jackson, MS 39211
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Counseling Of Mississippi, PLLC's NPI number?

The NPI number for Innovative Counseling Of Mississippi, PLLC is 1184328890. It was assigned to this organization in the NPPES registry on March 28, 2023.

Where is Innovative Counseling Of Mississippi, PLLC located?

Innovative Counseling Of Mississippi, PLLC is located at 4780 1-55 N Suite 100-103, Jackson, MS 39211. The listed phone number is (601) 708-9558.

What is Innovative Counseling Of Mississippi, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Innovative Counseling Of Mississippi, PLLC was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.