Innovative Therapeutic Services

LBN: Innovative Therapeutic Services
Innovative Therapeutic Services is an health care organization with primary practice located at 15600 N Black Canyon Hwy Ste C103 , Phoenix AZ 85053-4055. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Innovative Therapeutic Services can be contacted via phone (602) 320-7925, or through Kelly, Gwynetth Elaine via phone (602) 320-7925.

Contact Information

Primary practice address
15600 N Black Canyon Hwy Ste C103 Phoenix AZ 85053-4055
Phone: (602) 320-7925
Fax: (877) 958-9033
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Gwynetth Elaine DBH, LCSW
Phone: (602) 320-7925

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1912495839
LBN Legal business name Innovative Therapeutic Services
DBA Doing business as
Authorized official Kelly, Gwynetth Elaine DBH, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2018
Last updated May 4th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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