| Impact Wellness Center Llc | |
|
2700 Galena Ave North Chesterfield VA 23237-4638 | |
| (702) 754-9136 | |
| Not Available |
| Full Name | Impact Wellness Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2700 Galena Ave, North Chesterfield, Virginia |
| Authorized Official Name and Position | Phillip C Stafford (CEO) |
| Authorized Official Contact | 7027549063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Wellness Center Llc 2700 Galena Ave North Chesterfield VA 23237-4638 Ph: (702) 754-9136 | Impact Wellness Center Llc 2700 Galena Ave North Chesterfield VA 23237-4638 Ph: (702) 754-9136 |
| NPI Number | 1205509205 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205509205 | NPI | - | NPPES |
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