Innovative Lifestyle Network, LLC
Innovative Lifestyle Network, LLC is a Mental Health Counselor in Charlotte, North Carolina. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
301 McCullough Dr Ste 400Charlotte, NC 28262-1336
Phone: (704) 504-7274
Fax: (704) 919-5564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1437709482 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shanika Johnson — Owner/Therapist · (704) 421-1330 |
| NPI enumerated | September 11, 2019 |
| Last updated in NPPES | July 13, 2026 |
| Certification date | July 13, 2026 |
| Mailing address | 301 McCullough Dr Ste 400, Charlotte, NC 28262-1336 |
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