Organization
INTELLECTUS COUNSELING GROUP, LLC
Active
Other names
Innov8tive Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CURTIS CARTER JR. MS (CEO, CITO)
(804) 245-0727
Entity
Organization
Contact information
Practice address
14403 MICHAELS RIDGE RD, MIDLOTHIAN, VA 23113-6327
(804) 245-0727
Mailing address
14403 MICHAELS RIDGE RD, MIDLOTHIAN, VA 23113-6327
(804) 245-0727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042606060129
—
VA
Enumeration date
06/11/2015
Last updated
06/11/2015
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