Innovative Support Services, Llc - Mental Health Clinic in Lakeland, FL

Innovative Support Services, Llc is a mental health clinic (Case Management) in Lakeland, Florida. The current practice location for Innovative Support Services, Llc is 310 Modest St, Lakeland, Florida. For appointments, you can reach them via phone at (863) 904-8820. The mailing address for Innovative Support Services, Llc is Po Box 2253, Eaton Park, Florida and phone number is (863) 904-8820.

Innovative Support Services, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1184923054. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (863) 904-8820.

Contact Information

Innovative Support Services, Llc
310 Modest St
Lakeland
FL 33805-3123
(863) 904-8820
(866) 271-5349

Mental Health Clinic Profile

Full NameInnovative Support Services, Llc
SpecialityCase Management
Location310 Modest St, Lakeland, Florida
Authorized Official Name and PositionStephanie Kirnes (EXECUTIVE DIRECTOR)
Authorized Official Contact8639048820
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Innovative Support Services, Llc
Po Box 2253
Eaton Park
FL 33840-2253

Ph: (863) 904-8820
Innovative Support Services, Llc
310 Modest St
Lakeland
FL 33805-3123

Ph: (863) 904-8820

NPI Details:

NPI Number1184923054
Provider Enumeration Date03/18/2011
Last Update Date03/18/2011

Medical Identifiers

Medical identifiers for Innovative Support Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184923054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Primary
251K00000XPublic Health Or Welfare (* (Not Available))Secondary
251X00000XSupports Brokerage (* (Not Available))Secondary

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