IMPACT LIVES CONSULTING GROUP LLC NPI 1578120440

NPI Information

  • NPI: 1578120440
  • Provider Name: IMPACT LIVES CONSULTING GROUP LLC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 11613 SW 216TH ST
    MIAMI, FL
    ZIP 33170
  • Phone: (800) 460-2152

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NPI Details

IMPACT LIVES CONSULTING GROUP LLC is a community health clinic center in Miami, FL. IMPACT LIVES CONSULTING GROUP LLC NPI is 1578120440. The provider is registered as an organization entity type.

The provider's business location address is:

11613 SW 216TH ST
MIAMI, FL
ZIP 33170-933
Phone: (800) 460-2152
Fax: (800) 460-2152

The provider's authorized official is Jolie Woodstock .
The authorized official title is Director Of Accounting & H/r and has the following contact phone number (800) 460-2152.

The enumeration date for this NPI number is 5/24/2019 and was last updated on 5/24/2019.

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
1261QC1500XClinic/CenterCommunity 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: 11/21/2025

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