COLLECTIVE IMPACT SERVICES LLC NPI 1083317010

NPI Information

  • NPI: 1083317010
  • Provider Name: COLLECTIVE IMPACT SERVICES LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 616 ELIZABETH ST
    PETOSKEY, MI
    ZIP 49770
  • Phone: (231) 758-6776

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NPI Details

COLLECTIVE IMPACT SERVICES LLC is a professional counselor in Petoskey, MI. COLLECTIVE IMPACT SERVICES LLC NPI is 1083317010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

616 ELIZABETH ST
PETOSKEY, MI
ZIP 49770
Phone: (231) 758-6776

The provider's authorized official is Julie Clark .
The authorized official title is Owner and has the following contact phone number (231) 838-6099.

The enumeration date for this NPI number is 3/27/2023 and was last updated on 4/17/2023.

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
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

NPI Synchronization or Removal

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