| Impact Behavioral Services | |
|
256 Honeysuckle Rd. Dothan AL 36305-1168 | |
| (334) 797-2718 | |
| Not Available |
| Full Name | Impact Behavioral Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 256 Honeysuckle Rd., Dothan, Alabama |
| Authorized Official Name and Position | Aline M Mays-easley (THERAPSIT) |
| Authorized Official Contact | 3347972718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Behavioral Services 256 Honeysuckle Rd Ste 10 Dothan AL 36305-1168 Ph: (334) 797-2718 | Impact Behavioral Services 256 Honeysuckle Rd. Dothan AL 36305-1168 Ph: (334) 797-2718 |
| NPI Number | 1891097457 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891097457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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