| Community Impact Inc | |
|
9 Murphys Way Uxbridge MA 01569-2915 | |
| (401) 339-6686 | |
| Not Available |
| Full Name | Community Impact Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9 Murphys Way, Uxbridge, Massachusetts |
| Authorized Official Name and Position | Amy Leone Murray (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 5088646509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Impact Inc Po Box 407 Mendon MA 01756-0407 Ph: (508) 864-6509 | Community Impact Inc 9 Murphys Way Uxbridge MA 01569-2915 Ph: (401) 339-6686 |
| NPI Number | 1811131865 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 5597297796 |
|---|---|
| Medicare Enrollment ID | O20241014000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811131865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6190 (Massachusetts) | Primary |
| Provider Name | Amy Leone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386708303 PECOS PAC ID: 6406388602 Enrollment ID: I20241014000606 |
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