Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Innovative Community Resources Nc Inc

Organization Mental Health Counselor · NPI 1326249434

Innovative Community Resources Nc Inc is a Mental Health Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5736 N Tryon St Ste 200
Charlotte, NC 28213-0820
Phone: (704) 921-6777
Fax: (704) 509-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3411 (NC)

Record details

NPI number1326249434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loretta Tillman — Executive Clinical Director · (704) 921-6777
NPI enumeratedMay 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5736 N Tryon St Ste 200, Charlotte, NC 28213-0820

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