Provider Demographics
NPI:1841388865
Name:INNOVATIVE CONSULTING INTERNATIONAL, INC.
Entity Type:Organization
Organization Name:INNOVATIVE CONSULTING INTERNATIONAL, INC.
Other - Org Name:FINDING SOLUTIONS COUNSELING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:MOORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-636-2888
Mailing Address - Street 1:44025 PIPELINE PLZ
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5881
Mailing Address - Country:US
Mailing Address - Phone:703-636-2888
Mailing Address - Fax:703-991-9161
Practice Address - Street 1:44025 PIPELINE PLZ
Practice Address - Street 2:SUITE 110
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5881
Practice Address - Country:US
Practice Address - Phone:703-636-2888
Practice Address - Fax:703-991-9161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003624101Y00000X
VA09904004780101YA0400X
VA0701003630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty