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INNOVATIVE COMMUNITY RESOURCES NC INC
NPI 1326249434
Counselor - Mental Health in Charlotte, NC

Active since May 29, 2007
5736 N TRYON ST STE 200, CHARLOTTE, NC 28213(704) 921-6777(704) 509-2220 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovative Community Resources Nc Inc NPPES

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

INNOVATIVE COMMUNITY RESOURCES NC INC (NPI 1326249434) is a healthcare organization registered as a mental health in Charlotte, North Carolina and active in the NPI registry since May 2007. The organization lists Loretta I Tillman, Executive Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1326249434
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameINNOVATIVE COMMUNITY RESOURCES NC INC
Location Address5736 N TRYON ST STE 200Charlotte, NC 28213-0820
Mailing Address5736 N Tryon St Ste 200Charlotte, NC 28213-0820 · (704) 921-6777 · Fax (704) 509-2220
Phone(704) 921-6777
Fax(704) 509-2220
Organization SubpartNo
Authorized OfficialLoretta I TillmanExecutive Clinical Director · (704) 921-6777
Enumeration DateMay 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326249434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 3411
5736 N TRYON ST STE 200, Charlotte, NC 28213
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORETTA I. TILLMAN MA
Counselor (Mental Health)
5736 N TRYON ST STE 200
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-6777

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 Community Resources Nc Inc's NPI number?

The NPI number for Innovative Community Resources Nc Inc is 1326249434. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Innovative Community Resources Nc Inc located?

Innovative Community Resources Nc Inc is located at 5736 N Tryon St Ste 200, Charlotte, NC 28213. The listed phone number is (704) 921-6777.

What is Innovative Community Resources Nc Inc'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 Community Resources Nc Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.