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Contact Information

IMPACT ME ADDICTION COUNSELING SERVICES
303 WASHINGTON ST W STE 205
CHARLESTON, WV25302-2230
 Phone: 681-265-1140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Point of Service

305S00000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for IMPACT ME ADDICTION COUNSELING SERVICES

NPI Number 1467034058
LBN Legal business name IMPACT ME ADDICTION COUNSELING SERVICES
Authorized official SERI BOSSE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2021
Last updated 05/28/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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