| Impact Behavioral Counseling LLC | |
|
37 Sandstone Cir Ste 92b Jackson TN 38305-2089 | |
| (731) 265-6025 | |
| (731) 265-6028 |
| Full Name | Impact Behavioral Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 37 Sandstone Cir Ste 92b, Jackson, Tennessee |
| Authorized Official Name and Position | Patrick Combs (CEO) |
| Authorized Official Contact | 2052089312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Behavioral Counseling LLC 48 Medical Park Dr E Ste 453 Birmingham AL 35235-3472 Ph: (205) 208-9312 | Impact Behavioral Counseling LLC 37 Sandstone Cir Ste 92b Jackson TN 38305-2089 Ph: (731) 265-6025 |
| NPI Number | 1386169050 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 05/14/2026 |
| Certification Date | 05/14/2026 |
| Medicare PECOS PAC ID | 1355604836 |
|---|---|
| Medicare Enrollment ID | O20180416000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386169050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Primary |
| Provider Name | Deborah Gross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982717997 PECOS PAC ID: 2769438480 Enrollment ID: I20050325000324 |
| Provider Name | Stuart Milan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689766958 PECOS PAC ID: 6305189788 Enrollment ID: I20190529000481 |
| Provider Name | Garic Grisbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902217581 PECOS PAC ID: 6002223252 Enrollment ID: I20210406000398 |
| Provider Name | Raven M Campbell-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235544339 PECOS PAC ID: 5193946671 Enrollment ID: I20211124000740 |
| Provider Name | Allan Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386098499 PECOS PAC ID: 9234505496 Enrollment ID: I20221013001689 |
| Provider Name | Edith Royal Cheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235609744 PECOS PAC ID: 2163836248 Enrollment ID: I20230420000571 |
| Provider Name | Blake Towe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992170492 PECOS PAC ID: 3476941253 Enrollment ID: I20230929000642 |
| Provider Name | Melissa Ratliff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841488517 PECOS PAC ID: 4981057148 Enrollment ID: I20240124003333 |
| Provider Name | Amanda Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538419932 PECOS PAC ID: 1355889643 Enrollment ID: I20240819000222 |
| Provider Name | Christian Brooks Shearer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841973716 PECOS PAC ID: 6901258821 Enrollment ID: I20241212003652 |
| Provider Name | Fulivia Elma Cannady |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306085253 PECOS PAC ID: 6406385491 Enrollment ID: I20250121000691 |
| Provider Name | Nakeesha Longmire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881054625 PECOS PAC ID: 2264861749 Enrollment ID: I20250224003222 |
| Provider Name | Jillian Mosley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003285578 PECOS PAC ID: 8123464575 Enrollment ID: I20260108000220 |
| Provider Name | Tiffanie Nix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790155810 PECOS PAC ID: 9638658446 Enrollment ID: I20260211001193 |
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Mind and Body Healthcare Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 137 Terrace Pl, Jackson, TN 38301 Phone: 731-435-3060 |
Southeastern Psychology Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3006 Greystone Sq, Jackson, TN 38305 Phone: 731-474-1242 |
Anu Counseling and Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Brentshire Sq Ste Efg, Jackson, TN 38305 Phone: 731-608-0618 |
Helping Hands of Tennessee Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 N Highland Ave Ste 101, Jackson, TN 38301 Phone: 731-736-4005 Fax: 731-736-4006 |
Fouche Psychological Services PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3006 Greystone Sq, Jackson, TN 38305 Phone: 860-230-6947 |