# INNOVATIVE CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124705421
- **Authorized official:** SHAUNNIKA GREEN LPC (PROVIDER)
- **Authorized official phone:** (832) 363-8515

## Contact information

- **Practice address:** 4400 S WAYSIDE DR STE 101, HOUSTON, TX 77087-1125
- **Practice address phone:** (281) 793-7111
- **Mailing address:** 4400 S WAYSIDE DR STE 101, HOUSTON, TX 77087-1125
- **Mailing address phone:** (281) 793-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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