INNOVATIVE COMMUNITY RESOURCES NC INC
NPI 1326249434
Counselor - Mental Health in Charlotte, NC
- Organization
- Counselor
- Mental Health
About INNOVATIVE COMMUNITY RESOURCES NC INC
This page provides the complete NPI Profile along with additional information for Innovative Community Resources Nc Inc, a provider established in Charlotte, North Carolina operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1326249434 assigned on May 2007. The practitioner's primary taxonomy code is 101YM0800X with license number 3411 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Loretta I Tillman Ma (Executive Clinical Director)
- NPI
- 1326249434 Verify this NPI
- Provider Name
- INNOVATIVE COMMUNITY RESOURCES NC INC
- Entity Type
- Organization
- Location Address
- 5736 N TRYON ST STE 200 CHARLOTTE, NC 28213
- Location Phone
- (704) 921-6777
- Location Fax
- (704) 509-2220
- Mailing Address
- 5736 N TRYON ST STE 200 CHARLOTTE, NC 28213
- Mailing Phone
- (704) 921-6777
- Mailing Fax
- (704) 509-2220
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-29-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A mental health counselor like Innovative Community Resources Nc Inc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3411
- License State
- NC
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326249434, enumerated as an "organization" on May 29, 2007.
The provider is located at 5736 N TRYON ST STE 200 CHARLOTTE, NC 28213 and the phone number is (704) 921-6777.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
