IMPACT THERAPY LLC NPI 1851871677

NPI Information

NPI: 1851871677
Provider Name: IMPACT THERAPY, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3450 W CENTRAL AVE STE 354
TOLEDO, OH
ZIP 43606
Phone: (419) 407-5578
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IMPACT THERAPY, LLC is a mental health counselor in Toledo, OH. IMPACT THERAPY, LLC NPI is 1851871677. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3450 W CENTRAL AVE STE 354
TOLEDO, OH
ZIP 43606-418
Phone: (419) 407-5578
Fax: (844) 272-8238

The provider's authorized official is Kim Oats .
The authorized official title is Administrator and has the following contact phone number (419) 349-6011.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 1/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	01-7629	OHIO	Yes
2	101YM0800X	Counselor	Mental Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0115549	MEDICAID	OHIO
2	0301404	MEDICAID	OHIO
3	01-7629	OTHER	OHIO	OHIO MENTAL HEALTH AND ADDICTION SERVICES BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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