IMPACT COUNSELING SERVICES LLC NPI 1417121666

NPI Information

  • NPI: 1417121666
  • Provider Name: IMPACT COUNSELING SERVICES, LLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 158 S ANDERSON ST
    RHINELANDER, WI
    ZIP 54501
  • Phone: (715) 362-6390

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NPI Details

IMPACT COUNSELING SERVICES, LLC is an adolescent and children mental health clinic center in Rhinelander, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. IMPACT COUNSELING SERVICES, LLC NPI is 1417121666. The provider is registered as an organization entity type.

The provider's business location address is:

158 S ANDERSON ST
RHINELANDER, WI
ZIP 54501-447
Phone: (715) 362-6390

The provider's authorized official is Renee M Millwood .
The authorized official title is Director and has the following contact phone number (715) 634-0607.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 8/6/2008.

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
1261QM0855XClinic/CenterAdolescent and Children Mental Health43005300WISCONSINYes

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
143006000MEDICAIDWISCONSIN

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: 3/30/2025

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