Provider Demographics
NPI:1447944608
Name:ALL CLINICAL INNOVATIONS, LLC
Entity type:Organization
Organization Name:ALL CLINICAL INNOVATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL ADDICTION SPECIAL
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS
Authorized Official - Phone:704-968-0953
Mailing Address - Street 1:2000 CASTLETON CT APT D
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-2278
Mailing Address - Country:US
Mailing Address - Phone:704-968-0935
Mailing Address - Fax:
Practice Address - Street 1:1566 UNION RD STE B
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-5301
Practice Address - Country:US
Practice Address - Phone:704-968-0935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty