| 2mpact Services, Llc | |
|
260 Chapman Rd Ste 203 Newark DE 19702-5410 | |
| (302) 397-1955 | |
| (302) 861-0647 |
| Full Name | 2mpact Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 260 Chapman Rd Ste 203, Newark, Delaware |
| Authorized Official Name and Position | Alchemy Green (FOUNDING CEO, OWNER) |
| Authorized Official Contact | 3023971955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 2mpact Services, Llc 260 Chapman Rd Ste 203 Newark DE 19702-5410 Ph: (302) 397-1955 | 2mpact Services, Llc 260 Chapman Rd Ste 203 Newark DE 19702-5410 Ph: (302) 397-1955 |
| NPI Number | 1245853480 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 9133541899 |
|---|---|
| Medicare Enrollment ID | O20200625001486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245853480 | NPI | - | NPPES |
| Provider Name | Jazmine Maddox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003329319 PECOS PAC ID: 0446672117 Enrollment ID: I20200625001755 |
| Provider Name | Alchemy Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528435948 PECOS PAC ID: 5597187252 Enrollment ID: I20220209001248 |
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