INNOVATIVE COUNSELING & CONSULTING (NPI# 1891820841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891820841 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE COUNSELING & CONSULTING |
| Practice Address |
1455 Poplar Ave Memphis TN 38104-2934 |
| Practice Telephone | 9012760220 |
| Practice Fax Number | 9012760225 |
| Mailing Telephone | 9012760220 |
| Mailing Fax Number | 9012760225 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-03-30 |
| Authorized Official Name | MR. NORMAN N MILLER JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9012760220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1455 POPLAR AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124499 | Robbie Michelle Broughton | Social Worker | 1455 Poplar Ave, Memphis, TN 38104-2934 | 2020-11-03 |
| 1114470887 | Smart Medi Care Health Services Inc | Community/Behavioral Health | 1455 Poplar Ave, Memphis, TN 38104-2934 | 2016-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346598893 | Harbor House Inc | Substance Abuse Rehabilitation Facility | 1979 E Alcy Rd, Memphis, TN 38114-5902 | 2012-08-15 |
| 1841450210 | Grace House of Memphis, Inc. | Substance Abuse Rehabilitation Facility | 329 N Bellevue Blvd, Memphis, TN 38105-4306 | 2008-06-10 |
| 1235324245 | Cocaine Alcohol Awareness Program, Inc. | Substance Abuse Rehabilitation Facility | 4023 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-09-12 |
| 1629131297 | Serenityrecovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1094 Poplar Ave, Memphis, TN 38105-4710 | 2006-12-18 |
| 1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
| 1518950609 | Memphis Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 219 N Montgomery St, Memphis, TN 38104-6931 | 2005-08-24 |
| 1326584814 | Meridian Behavioral Health Services LLC | Substance Abuse Rehabilitation Facility | 1950 Madison Ave, Memphis, TN 38104-2707 | 2017-01-09 |
| 1750708798 | Veterans Affairs Hospital (memphis) | Substance Abuse Rehabilitation Facility | 1030 Jefferson Ave, Department of Mental Health/chemical Dependency Center, Memphis, TN 38104-2127 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694193 | Detox West Tennessee LLC | Substance Abuse Rehabilitation Facility | 370 N Cumberland St, Jackson, TN 38301-5470 | 2020-09-21 |
| 1003445917 | Nashville Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1037 Jefferson St, Nashville, TN 37208-2554 | 2020-04-02 |
| 1306476023 | Recovery Court of Sumner County, Inc. | Substance Abuse Rehabilitation Facility | 132 S Water Ave, Gallatin, TN 37066-2903 | 2020-01-22 |
| 1548890494 | Harmony Oaks Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 7609 Shallowford Rd, Chattanooga, TN 37421-2633 | 2020-01-20 |
| 1629618483 | Tennessee Recovery Clinic LLC | Substance Abuse Rehabilitation Facility | 131 Edenwold Rd, Madison, TN 37115-2428 | 2020-01-09 |
| 1598319063 | Spring 2 Life Ministries | Substance Abuse Rehabilitation Facility | 3196 Hill Creek Rd, Woodbury, TN 37190-6803 | 2019-08-01 |
| 1356994164 | Recovery Unplugged Nashville, LLC | Substance Abuse Rehabilitation Facility | 255 Wilson Pike Cir, Brentwood, TN 37027-5207 | 2019-07-21 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1801301452 | 4m Healthsystem Inc | Substance Abuse Rehabilitation Facility | 827 Virtue Rd, Knoxville, TN 37934-5344 | 2017-12-05 |
| 1477080976 | Journeypure Murfreesboro LLC | Substance Abuse Rehabilitation Facility | 1139 Nw Broad St Ste 102, Murfreesboro, TN 37129-2390 | 2017-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.