# INNOVATIVE HEALING CENTER LLC

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

## Provider details

- **NPI number:** 1841525680
- **Authorized official:** TENA CARROLL SCARBER L. AC. (OWNER/L. AC.)
- **Authorized official phone:** (972) 742-1152

## Contact information

- **Practice address:** 4100 W 15TH ST, 220, PLANO, TX 75093-5803
- **Practice address phone:** (972) 742-1152
- **Practice address fax:** (972) 867-6376
- **Mailing address:** 5608 SOUTHERN HILLS DR, FRISCO, TX 75034-6863
- **Mailing address phone:** (972) 742-1152
- **Mailing address fax:** (972) 867-6376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 06690 | TX | — |
| 171100000X | Acupuncturist | 00754 | TX | Yes |

## Other

- **Enumeration date:** 10/13/2009
- **Last updated:** 10/13/2009