Provider Demographics
NPI:1194184036
Name:INNOVATIVE MENTAL HEALTH SOLUTIONS LLC.
Entity Type:Organization
Organization Name:INNOVATIVE MENTAL HEALTH SOLUTIONS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW LSATP
Authorized Official - Phone:804-918-9499
Mailing Address - Street 1:PO BOX 38474
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-0674
Mailing Address - Country:US
Mailing Address - Phone:804-404-5174
Mailing Address - Fax:804-442-7028
Practice Address - Street 1:2114 DABNEY RD STE F
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3340
Practice Address - Country:US
Practice Address - Phone:804-919-9499
Practice Address - Fax:804-442-7028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-21
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty