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IMPACT COUNSELING COACHING & CONSULTING LLC NPI 1093431504


NPI Information

NPI: 1093431504
Provider Name: IMPACT COUNSELING, COACHING & CONSULTING LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1000 REGENT UNIVERSITY DR
VIRGINIA BEACH, VA
ZIP 23464
Phone: (757) 354-3025
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IMPACT COUNSELING, COACHING & CONSULTING LLC is a mental health (including community mental health center) clinic center in Virginia Beach, VA. IMPACT COUNSELING, COACHING & CONSULTING LLC NPI is 1093431504. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1000 REGENT UNIVERSITY DR
VIRGINIA BEACH, VA
ZIP 23464-037
Phone: (757) 354-3025

The provider's authorized official is Cyrus Williams .
The authorized official title is Owner/clinical Supervisor and has the following contact phone number (757) 354-3025.

The enumeration date for this NPI number is 10/17/2022 and was last updated on 11/14/2022.


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
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)No
5103TB0200XPsychologistCognitive & BehavioralNo
6103TC1900XPsychologistCounselingNo
7103TF0000XPsychologistFamilyNo
8103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
9103TP2701XPsychologistGroup PsychotherapyNo
10106H00000XMarriage & Family TherapistNo
11261QM0850XClinic/CenterAdult Mental HealthNo
12261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
13261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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
11083841779OTHERVIRGINIACIGNA MEDICAL
21083841779OTHERVIRGINIAAETNA HEALTHKEEPERS PLUS
31083841779OTHERVIRGINIAAETNA BEHAVIORAL HEALTH
41083841779OTHERVIRGINIAMAGELLAN BEHAVIORAL HEALTH
51083841779OTHERVIRGINIAMOLINA COMPLETE CARE
61083841779MEDICAIDVIRGINIA
71083841779OTHERVIRGINIAMAGELLAN
81083841779OTHERVIRGINIAMAGELLAN COMPLETE CARE
91083841779OTHERVIRGINIAPRIORITY HEALTH
101083841779OTHERVIRGINIAAETNA BETTER HEALTH
111083841779OTHERVIRGINIACIGNA EAP
121083841779OTHERVIRGINIAOPTIMA
131083841779OTHERVIRGINIAAETNA
141083841779OTHERVIRGINIAANTHEM BLUE CROSS BLUE SHIELD
151083841779OTHERVIRGINIASISCO
161083841779OTHERVIRGINIACIGNA

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: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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