| Impact Living Services | |
|
630 Wyndhurst Dr Suite F Lynchburg VA 24502-3454 | |
| (434) 533-1088 | |
| Not Available |
| Full Name | Impact Living Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 630 Wyndhurst Dr, Lynchburg, Virginia |
| Authorized Official Name and Position | Dan Edwin West (DIRECTOR) |
| Authorized Official Contact | 4346602917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Living Services 630 Wyndhurst Dr Suite F Lynchburg VA 24502-3454 Ph: () - | Impact Living Services 630 Wyndhurst Dr Suite F Lynchburg VA 24502-3454 Ph: (434) 533-1088 |
| NPI Number | 1487054342 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 08/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487054342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004035 (Virginia) | Primary |
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