IMPACT LIVES HEALTH SERVICES LLC NPI 1326710443

NPI Information

NPI: 1326710443
Provider Name: IMPACT LIVES HEALTH SERVICES, LLC

Doing Business As: IMPACT LIVES HEALTH SERVICE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1045 TAYLOR AVE STE 206
BALTIMORE, MD
ZIP 21286
Phone: (443) 963-2602
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IMPACT LIVES HEALTH SERVICES, LLC is a mental health (including community mental health center) clinic center in Baltimore, MD. IMPACT LIVES HEALTH SERVICES, LLC NPI is 1326710443. The provider is registered as an organization entity type.
The provider Is Doing Business As Impact Lives Health Service.

The provider's business location address is:

1045 TAYLOR AVE STE 206
BALTIMORE, MD
ZIP 21286-316
Phone: (443) 963-2602

The provider's authorized official is Michael Westbrook .
The authorized official title is C.e.o. and has the following contact phone number (410) 963-2602.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/29/2022.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 5/5/2024

NPI Synchronization or Removal

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