Organization
INNOVATIVE OPTIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINETTE NUMITAL THORNTON LCSW (CHIEF EXECTIVE OFFICER)
(757) 580-5678
Entity
Organization
Contact information
Practice address
3915 CASCADE RD SW STE T-138, ATLANTA, GA 30331-2009
(844) 580-5678
(678) 288-7832
Mailing address
3915 CASCADE RD SW STE T-138, ATLANTA, GA 30331-2009
(404) 692-0818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/05/2013
Last updated
05/28/2023
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