IMPACT LIFE SOLUTIONS, LLC; NPI #1417739624

Contact Information

IMPACT LIFE SOLUTIONS, LLC

4204 BUCKINGHAM AVE
DETROIT, MI 48224-3539

Phone: 248-571-4806
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Marriage & Family Therapist	106H00000X
Mental Health	101YM0800X
Pastoral	101YP1600X
Social Worker	104100000X

Indicates primary specialty

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NPI Profile & details for IMPACT LIFE SOLUTIONS, LLC

NPI Number	`1417739624`
LBN Legal business name	IMPACT LIFE SOLUTIONS, LLC
Authorized official	KELLEY MAYS - (OWNER / THERAPIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/23/2023
Last updated	10/24/2023 - About 3 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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IMPACT LIFE SOLUTIONS, LLC

Contact Information

Specialty

Professional

Marriage & Family Therapist

Mental Health

Pastoral

Social Worker

NPI Profile & details for IMPACT LIFE SOLUTIONS, LLC

Reviews for IMPACT LIFE SOLUTIONS, LLC