Impact Counseling Services I, Inc. in Lake Grove - Community/behavioral Health

Impact Counseling Services I, Inc. - NPI 1760694947

Impact Counseling Services I, Inc. is a Community/behavioral Health in Lake Grove, New York. Impact Counseling Services I, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Impact Counseling Services I, Inc. is 1760694947. The last update date is 2015-04-22.

Impact Counseling Services I, Inc.'s current location address is 2760 Middle Country Rd, Lake Grove, New York. You can contact this provider via phone number 6314673182 and fax number 6314673178. The mailing address for Impact Counseling Services I, Inc. is 2760 Middle Country Rd, Lake Grove, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Impact Counseling Services I, Inc.
Address 2760 Middle Country Rd, Lake Grove, New York
Phone Number 6314673182
Fax Number 6314673178
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO CLINIC
Authorized Official Name Brunjes Ann Carol
Credentials LCSW R
Telephone Number 6314673182

NPI Number Detail

NPI Number 1760694947
Provider Enumeration Date 2007-05-03
Last Updated Date 2015-04-22

Provider Mailing Address Detail

Address 2760 Middle Country Rd
City Lake Grove
State New York (NY)
Post Code 117552113
Phone Number 6314673182
Fax Number 6314673178

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Licence No 80411616
Definition:
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 dis

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FAQs about Impact Counseling Services I, Inc.

What is the unique 10-digit identifier code issued to Impact Counseling Services I, Inc. by the Centers for Medicare & Medicaid Services?

The Impact Counseling Services I, Inc. has been assigned the NPI (National Provider Identifier) 1760694947 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Impact Counseling Services I, Inc. is physically located?

The Impact Counseling Services I, Inc. is situated at the following address: 2760 Middle Country Rd, Lake Grove, NY 117552113.

What is Impact Counseling Services I, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Impact Counseling Services I, Inc. is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.

When did the Impact Counseling Services I, Inc. receive its 1760694947?

The Impact Counseling Services I, Inc. was issued its 1760694947 on 2007-05-03, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Impact Counseling Services I, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Impact Counseling Services I, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-22.

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