Organization
INNOVATIVE ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN A ELLIS-MURRAY MSW, MPA, LICSW-PIP (MANAGING MEMBER)
(334) 727-0550
Entity
Organization
Contact information
Practice address
365 CRUSHING HTS, PIKE ROAD, AL 36064-3133
(334) 313-2767
Mailing address
PO BOX 230354, MONTGOMERY, AL 36123-0354
(334) 214-1089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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