INNOVATIVE CONCEPTS
NPI 1942651724
Counselor - Professional in Charlotte, NC
Active since June 23, 2016
About Innovative Concepts NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE CONCEPTS (NPI 1942651724) is a healthcare organization registered as a professional in Charlotte, North Carolina and active in the NPI registry since June 2016. The organization lists Nadine Roberts, Ceo, as its authorized official.
NPPES Registry Identity
NPI1942651724
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameINNOVATIVE CONCEPTS
Location Address9625 DAVID TAYLOR DR # 120ACharlotte, NC 28262-2362
Mailing Address133 Weavers Glenn PlCharlotte, NC 28262-1698 · (704) 533-5168
Phone(704) 533-5168
Organization SubpartNo
Authorized OfficialNadine RobertsCeo · (704) 533-5168
Enumeration DateJune 23, 2016
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedJanuary 18, 2022
✔ NPI 1942651724 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A12126
9625 DAVID TAYLOR DR # 120A, Charlotte, NC 28262
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
The NPI number assigned to this healthcare provider is 1942651724, enumerated as an "organization" on June 23, 2016.
The provider is located at 9625 DAVID TAYLOR DR # 120A CHARLOTTE, NC 28262 and the phone number is (704) 533-5168.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
