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Organization
INNOVATIVE CARE LLC
Active
Organization
INNOVATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN BENSON RICHARDSON LCSW (OWNER/CEO)
(804) 608-9704
Entity
Organization
Contact information
Practice address
INNOVATIVE CARE LLC, 5712 OAK KNOLL RD., MIDLOTHIAN, VA 23112-2400
(804) 608-6577
(855) 700-5593
Mailing address
INNOVATIVE CARE LLC, 5712 OAK KNOLL RD., MIDLOTHIAN, VA 23112-2400
(804) 608-9704
(855) 700-5593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
03/31/2020
Last updated
02/26/2026
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