Organization
INNOVATIVE HUMAN RESOURCES-PEE DEE BAND, LLC
Active
Other names
Innovative Human Resources, LLP, IHR-Pee Dee Band, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN B. BROOKS MS ED. D. (CEO/COMPLIANCE OFFICER)
(404) 552-4284
Entity
Organization
Contact information
Practice address
460 SANDYBROOKE DR, HIGH POINT, NC 27265-2923
(336) 886-0142
Mailing address
460 SANDYBROOKE DR, HIGH POINT, NC 27265-2923
(404) 552-4284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A8001
NC
101YP2500X
Professional Counselor
—
—
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251X00000X
Supports Brokerage Agency
0008620494
NC
251X00000X
Supports Brokerage Agency
731914
GA
251X00000X
Supports Brokerage Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
364S00000X
Clinical Nurse Specialist
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187956
LICENSE PRINCIPAL AGENCY RESIDENT
GA
01
—
40918375
LICENSE: ACCIDENT, HEALTH, SICKNESS, & LIFE
MN
01
—
731914
INSURANCE: ACCIDENT, SICKNESS, & LIFE LICENSE
GA
01
—
8620494
LICENSE/NPN HEALTH, SICKNESS, ACCIDENT, & LIFE
NC
01
—
8620494
LICENSE/NPN ACCIDENT SICKNESS, HEALTH, & LIFE
SC
Enumeration date
12/09/2010
Last updated
09/20/2024
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