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IMPACT LIVES HEALTH SERVICES LLC NPI 1457012833


NPI Information

NPI: 1457012833
Provider Name: IMPACT LIVES HEALTH SERVICES, LLC

Doing Business As: IMPACT LIVES HEALTH SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1045 TAYLOR AVE STE 206
TOWSON, MD
ZIP 21286
Phone: (410) 650-2771
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IMPACT LIVES HEALTH SERVICES, LLC is a community behavioral health in Towson, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. IMPACT LIVES HEALTH SERVICES, LLC NPI is 1457012833. The provider is registered as an organization entity type.
The provider Is Doing Business As Impact Lives Health Services.

The provider's business location address is:

1045 TAYLOR AVE STE 206
TOWSON, MD
ZIP 21286-316
Phone: (410) 650-2771

The provider's authorized official is Michael Westbrook .
The authorized official title is Owner and has the following contact phone number (410) 963-2602.

The enumeration date for this NPI number is 1/6/2022 and was last updated on 9/29/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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

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