Organization
INNOVATION COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRINCESS NELL BYRD (OFFICE MANAGER)
(478) 662-4456
Entity
Organization
Contact information
Practice address
1000 CORPORATE POINTE STE 104, WARNER ROBINS, GA 31088-3439
(478) 273-0097
(478) 273-3097
Mailing address
1000 CORPORATE POINTE STE 104, WARNER ROBINS, GA 31088-3439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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