Provider Demographics
NPI:1003400573
Name:INNOVATIVE SOLUTIONS AND CONSULTING FIRM
Entity Type:Organization
Organization Name:INNOVATIVE SOLUTIONS AND CONSULTING FIRM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALFARO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-964-7917
Mailing Address - Street 1:12955 SW 132ND ST STE 205A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6224
Mailing Address - Country:US
Mailing Address - Phone:305-964-7917
Mailing Address - Fax:305-675-9211
Practice Address - Street 1:12955 SW 132ND ST STE 205A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6224
Practice Address - Country:US
Practice Address - Phone:305-964-7917
Practice Address - Fax:305-675-9211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Multi-Specialty