IMPACT COACHING CONSULTING AND COUNSELING CENTER LLC NPI 1700550621

NPI Information

NPI: 1700550621
Provider Name: IMPACT COACHING, CONSULTING, AND COUNSELING CENTER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4508 S LABURNUM AVE STE 100
RICHMOND, VA
ZIP 23231
Phone: (804) 615-8769
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IMPACT COACHING, CONSULTING, AND COUNSELING CENTER LLC is a mental health counselor in Richmond, VA. IMPACT COACHING, CONSULTING, AND COUNSELING CENTER LLC NPI is 1700550621. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4508 S LABURNUM AVE STE 100
RICHMOND, VA
ZIP 23231-476
Phone: (804) 615-8769

The provider's authorized official is Diathe Garnes .
The authorized official title is Owner and has the following contact phone number (804) 615-8769.

The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/4/2021.

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
1	101YM0800X	Counselor	Mental Health			Yes

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

NPI Synchronization or Removal

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