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INCORPORATION TO MAXIMIZE PERSONAL ACHIEVEMENT WITH COMMUNITY TRAINING NPI 1316059850


NPI Information

NPI: 1316059850
Provider Name: INCORPORATION TO MAXIMIZE PERSONAL ACHIEVEMENT WITH COMMUNITY TRAINING

Doing Business As: I.M.P.A.C.T. ; THE CENTER FOR HUMAN RESOURCES

Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 23D2222926

Address:
1001 MILITARY STREET
PORT HURON, MI
ZIP 48060
Phone: (810) 985-5437
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INCORPORATION TO MAXIMIZE PERSONAL ACHIEVEMENT WITH COMMUNITY TRAINING is a counselor in Port Huron, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. INCORPORATION TO MAXIMIZE PERSONAL ACHIEVEMENT WITH COMMUNITY TRAINING NPI is 1316059850. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As I.m.p.a.c.t. ; The Center For Human Resources.

The provider's business location address is:

1001 MILITARY STREET
PORT HURON, MI
ZIP 48060
Phone: (810) 985-5437
Fax: (800) 248-1568

The provider's authorized official is Herbert M. Wendt .
The authorized official title is Executive Director and has the following contact phone number (810) 985-5437.

The CLIA number assigned to this NPI record is 23D2222926 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/15/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2251K00000XPublic Health or WelfareNo

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: 11/14/2023

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