Provider Demographics
NPI:1033567342
Name:INNOVATIVE URBAN HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:INNOVATIVE URBAN HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:T
Authorized Official - Last Name:AKINSEYE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:240-595-8191
Mailing Address - Street 1:1427 GOOD HOPE RD SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5614
Mailing Address - Country:US
Mailing Address - Phone:240-595-8191
Mailing Address - Fax:
Practice Address - Street 1:1427 GOOD HOPE ROAD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020
Practice Address - Country:US
Practice Address - Phone:240-595-8191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1010251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health