Provider Demographics
NPI:1750620605
Name:INNOVATIVE INVESTORS HOLDINGS CORP
Entity type:Organization
Organization Name:INNOVATIVE INVESTORS HOLDINGS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER / DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:305-519-4741
Mailing Address - Street 1:9000 SHERIDAN ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8802
Mailing Address - Country:US
Mailing Address - Phone:954-862-7012
Mailing Address - Fax:954-449-0294
Practice Address - Street 1:15246 SW 21ST PL
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4384
Practice Address - Country:US
Practice Address - Phone:954-862-7012
Practice Address - Fax:954-449-0294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty