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

Innovative Support Services, LLC

Organization Counselor · NPI 1184923054

Innovative Support Services, LLC is a Counselor in Lakeland, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

310 Modest St
Lakeland, FL 33805-3123
Phone: (863) 904-8820
Fax: (866) 271-5349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X
Public Health or Welfare Agency Taxonomy 251K00000X
Supports Brokerage Agency Taxonomy 251X00000X

Record details

NPI number1184923054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Kirnes — Executive Director · (863) 904-8820
NPI enumeratedMarch 18, 2011
Last updated in NPPESMarch 18, 2011
Mailing addressPo Box 2253, Eaton Park, FL 33840-2253

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