| Innovative Enterprises, Llc | |
|
365 Crushing Hts Pike Road AL 36064-3133 | |
| (334) 313-2767 | |
| Not Available |
| Full Name | Innovative Enterprises, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 365 Crushing Hts, Pike Road, Alabama |
| Authorized Official Name and Position | Dawn A Ellis-murray (MANAGING MEMBER) |
| Authorized Official Contact | 3347270550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Enterprises, Llc Po Box 230354 Montgomery AL 36123-0354 Ph: (334) 214-1089 | Innovative Enterprises, Llc 365 Crushing Hts Pike Road AL 36064-3133 Ph: (334) 313-2767 |
| NPI Number | 1891583035 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 04/28/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891583035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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