Innovative Counseling Inc

LBN: Innovative Counseling Inc
Innovative Counseling Inc is an health care organization with primary practice located at 1499 6Th St Innovative Counseling Inc, Green Bay WI 54304-2252. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Innovative Counseling Inc can be contacted via phone (920) 497-6161, or through Thomas, Cynthia Rae via phone (920) 497-6161.

Contact Information

Primary practice address
1499 6Th St Innovative Counseling Inc Green Bay WI 54304-2252
Phone: (920) 497-6161
Fax: (920) 498-0476
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Cynthia Rae MSW ACSW
Phone: (920) 497-6161

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 2283 Wisconsin

Profile Details

NPI number 1093869588
LBN Legal business name Innovative Counseling Inc
DBA Doing business as
Authorized official Thomas, Cynthia Rae MSW ACSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Mar 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093869588 NPPES
Wisconsin MEDICAID 42207500
Wisconsin MEDICAID WI1391

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