Organization
INNOVATION COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEISTA SPUNETTE HAWKINS (PRESIDENT)
(864) 978-1148
Entity
Organization
Contact information
Practice address
955 W WADE HAMPTON BLVD STE 3B, GREER, SC 29650-1296
(864) 334-5019
(864) 432-2195
Mailing address
955 W WADE HAMPTON BLVD STE 3B, GREER, SC 29650-1296
(864) 334-5019
(864) 432-2195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
05/05/2023
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