| Impact Mental Health Therapy Llc | |
|
2300 Riverside Dr Green Bay WI 54301-1900 | |
| (507) 696-4034 | |
| Not Available |
| Full Name | Impact Mental Health Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2300 Riverside Dr, Green Bay, Wisconsin |
| Authorized Official Name and Position | Hallie M Barbara (PRESIDENT) |
| Authorized Official Contact | 5076964034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Mental Health Therapy Llc 2250 Meadow Ridge Dr De Pere WI 54115-7200 Ph: (507) 696-4034 | Impact Mental Health Therapy Llc 2300 Riverside Dr Green Bay WI 54301-1900 Ph: (507) 696-4034 |
| NPI Number | 1720713837 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720713837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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