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Organization
INNOVATIVE CONSULTING LLC
Active
Organization
INNOVATIVE CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNNIKA GREEN LPC (PROVIDER)
(832) 363-8515
Entity
Organization
Contact information
Practice address
4400 S WAYSIDE DR STE 101, HOUSTON, TX 77087-1125
(281) 793-7111
Mailing address
4400 S WAYSIDE DR STE 101, HOUSTON, TX 77087-1125
(281) 793-7111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
NULL
1041S0200X
School Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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