| The Healing Impact, Inc | |
|
4 9th Ave Ste F Shalimar FL 32579-1742 | |
| (850) 420-9317 | |
| (850) 505-3078 |
| Full Name | The Healing Impact, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4 9th Ave Ste F, Shalimar, Florida |
| Authorized Official Name and Position | Amy Ellis (CEO) |
| Authorized Official Contact | 8502619032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Impact, Inc 5170 Annie Ruth St Milton FL 32570-8153 Ph: (850) 420-9317 | The Healing Impact, Inc 4 9th Ave Ste F Shalimar FL 32579-1742 Ph: (850) 420-9317 |
| NPI Number | 1154988772 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154988772 | NPI | - | NPPES |
| 1345573506 | Other | FL | NPI |
| 1154988772 | Other | FL | NPI |
| 1861792467 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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