# INNOVATE COUNSELING & WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1194277004
- **Authorized official:** TAMARA LJUBISIC LPC, CST (MANAGER)
- **Authorized official phone:** (214) 952-2455

## Contact information

- **Practice address:** 801 E PLANO PKWY, STE. 150, PLANO, TX 75074-6746
- **Practice address phone:** (214) 952-2455
- **Practice address fax:** (972) 867-6312
- **Mailing address:** 801 E PLANO PKWY, STE. 150, PLANO, TX 75074-6746
- **Mailing address phone:** (214) 952-2455
- **Mailing address fax:** (972) 867-6312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 70338 | TX | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 10/26/2016
