| Impact Behavioral Health Llc | |
|
1965 Capital Cir Ne Suite 102 Tallahassee FL 32308-8401 | |
| (850) 671-4600 | |
| (850) 878-2863 |
| Full Name | Impact Behavioral Health Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1965 Capital Cir Ne, Tallahassee, Florida |
| Authorized Official Name and Position | Yvette Mignon (OWNER) |
| Authorized Official Contact | 8506562006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Behavioral Health Llc 1965 Capital Cir Ne Ste 200 Tallahassee FL 32308-8402 Ph: (850) 656-2006 | Impact Behavioral Health Llc 1965 Capital Cir Ne Suite 102 Tallahassee FL 32308-8401 Ph: (850) 671-4600 |
| NPI Number | 1982922829 |
|---|---|
| Provider Enumeration Date | 05/16/2010 |
| Last Update Date | 12/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982922829 | NPI | - | NPPES |
| 600680931 | Other | FL | MAGELLAN |
| 2386 | Other | GA | LICENSED PROFESSIONAL COUNSELOR |
| 648299630A | Medicaid | GA | |
| 003214900 | Medicaid | FL | |
| 8447 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR |
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