| Innovative Therapy And Consulting, Inc | |
|
833 Wake Forest Business Park Suite G Wake Forest NC 27587-7184 | |
| (919) 554-1231 | |
| (919) 554-2406 |
| Full Name | Innovative Therapy And Consulting, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 833 Wake Forest Business Park, Wake Forest, North Carolina |
| Authorized Official Name and Position | Lisa Driver (INCORPORATOR) |
| Authorized Official Contact | 9195541231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Therapy And Consulting, Inc 833 Wake Forest Business Park Suite G Wake Forest NC 27587-7184 Ph: (919) 554-1231 | Innovative Therapy And Consulting, Inc 833 Wake Forest Business Park Suite G Wake Forest NC 27587-7184 Ph: (919) 554-1231 |
| NPI Number | 1083812481 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083812481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5457 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C004553 (North Carolina) | Primary |
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