Impact Wellness Center LLC
NPI #1205509205 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1205509205
- Entity Type
- Organization
- Organization Name
- Impact Wellness Center LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Jul 27, 2021
Practice Location
- Address
- 2700 GALENA AVE
- State
- Virginia
- ZIP Code
- 23237-4638
- Phone
- (702) 754-9136
Authorized Official
- Name
- PHILLIP C STAFFORD
- Title
- CEO
- Phone
- (702) 754-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
| Psychologist - Counseling — Counseling |
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
| Counselor - Mental Health — Mental Health |
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