Impact Behavioral Services

NPI #1891097457 in Dothan, Alabama

Provider Information

NPI Number: 1891097457
Entity Type: Organization
Organization Name: Impact Behavioral Services
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 2, 2010
Last Updated: Dec 2, 2010

Practice Location

Address: 256 HONEYSUCKLE RD.
City: Dothan
State: Alabama
ZIP Code: 36305-1168
Phone: (334) 797-2718

Authorized Official

Name: ALINE M MAYS-EASLEY, M.A.
Title: THERAPSIT
Phone: (334) 797-2718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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