Impact Counseling Services, Llc in Hayward - Adolescent And Children Mental Health
Impact Counseling Services, Llc - NPI 1437323680
Impact Counseling Services, Llc is a Adolescent And Children Mental Health in Hayward, Wisconsin. Impact Counseling Services, Llc practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Impact Counseling Services, Llc is 1437323680. The last update date is 2008-08-11.
Impact Counseling Services, Llc's current location address is 15655 County Road B, Hayward, Wisconsin. You can contact this provider via phone number 7156340607. The mailing address for Impact Counseling Services, Llc is 15655 County Road B, Hayward, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Impact Counseling Services, Llc |
|---|---|
| Address | 15655 County Road B, Hayward, Wisconsin |
| Phone Number | 7156340607 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Millwood M Renee |
| Credentials | MS |
| Telephone Number | 7156340607 |
NPI Number Detail
| NPI Number | 1437323680 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2008-08-11 |
Provider Mailing Address Detail
| Address | 15655 County Road B |
|---|---|
| City | Hayward |
| State | Wisconsin (WI) |
| Post Code | 548433251 |
| Phone Number | 7156340607 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 43005300 |
|
Definition: 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 patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43005300 | WI | -- |
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What is the Impact Counseling Services, Llc's unique identification number?
The Impact Counseling Services, Llc has been assigned the NPI (National Provider Identifier) Number 1437323680 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Impact Counseling Services, Llc located?
The Impact Counseling Services, Llc is located at 15655 County Road B, Hayward, WI 548433251.
What is the area of specialization for Impact Counseling Services, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Impact Counseling Services, Llc is Adolescent And Children Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0855X.
When was the Impact Counseling Services, Llc's 1437323680 issued?
The Impact Counseling Services, Llc's 1437323680 was issued on 2008-04-18.
When was the Impact Counseling Services, Llc's information last updated?
The Impact Counseling Services, Llc's information was last updated on 2008-08-11.
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