# INNOVATIVE CARE LLC

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

## Provider details

- **NPI number:** 1689202012
- **Authorized official:** AUTUMN BENSON RICHARDSON LCSW (OWNER/CEO)
- **Authorized official phone:** (804) 608-9704

## Contact information

- **Practice address:** INNOVATIVE CARE LLC, 5712 OAK KNOLL RD., MIDLOTHIAN, VA 23112-2400
- **Practice address phone:** (804) 608-6577
- **Practice address fax:** (855) 700-5593
- **Mailing address:** INNOVATIVE CARE LLC, 5712 OAK KNOLL RD., MIDLOTHIAN, VA 23112-2400
- **Mailing address phone:** (804) 608-9704
- **Mailing address fax:** (855) 700-5593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2020
- **Last updated:** 02/26/2026