Provider Demographics
NPI:1730100819
Name:INNOVATIVE HEALTHCARE SOLUTIONS
Entity Type:Organization
Organization Name:INNOVATIVE HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAUNCY
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-335-1212
Mailing Address - Street 1:481 CYPRESS LN
Mailing Address - Street 2:B-116
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701-7473
Mailing Address - Country:US
Mailing Address - Phone:662-335-1212
Mailing Address - Fax:
Practice Address - Street 1:481 CYPRESS LN
Practice Address - Street 2:B-116
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-7473
Practice Address - Country:US
Practice Address - Phone:662-335-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered251B00000XAgenciesCase ManagementGroup - Multi-Specialty