| NPI | 1306465257 |
|---|---|
| Former Legal Business Name | INNOVATIVE COUNSELING GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN HAYES WEAVER Owner 804-658-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2025-04-21 |