Organization
INNOVATIVE OPTIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINETTE NUMITAL THORNTON PH.D. LCSW (CEO)
(757) 237-8460
Entity
Organization
Contact information
Practice address
1216 GRANBY ST STE 206, NORFOLK, VA 23510-2622
(757) 237-8460
(478) 288-7832
Mailing address
3915 CASCADE RD SW STE T-138, ATLANTA, GA 30331-2009
(757) 237-8460
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/10/2023
Last updated
06/06/2023
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