| Impact Mental Health Services Llc | |
|
3303 Airline Blvd Ste 3c Portsmouth VA 23701-2635 | |
| (757) 576-8180 | |
| (757) 399-1501 |
| Full Name | Impact Mental Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3303 Airline Blvd Ste 3c, Portsmouth, Virginia |
| Authorized Official Name and Position | Walter C Howell (CEO) |
| Authorized Official Contact | 7573991500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Mental Health Services Llc 1101 Madison Plz Ste 100 Chesapeake VA 23320-5179 Ph: (757) 576-8180 | Impact Mental Health Services Llc 3303 Airline Blvd Ste 3c Portsmouth VA 23701-2635 Ph: (757) 576-8180 |
| NPI Number | 1477963056 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477963056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
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