| Impact Wellness Services, Llc | |
|
2117 Prentiss Dr Apt K212 Downers Grove IL 60516-2217 | |
| (586) 354-8383 | |
| Not Available |
| Full Name | Impact Wellness Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2117 Prentiss Dr Apt K212, Downers Grove, Illinois |
| Authorized Official Name and Position | Lamont Jones (PRESIDENT) |
| Authorized Official Contact | 5863548383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Wellness Services, Llc 2117 Prentiss Dr Apt K212 Downers Grove IL 60516-2217 Ph: (586) 354-8383 | Impact Wellness Services, Llc 2117 Prentiss Dr Apt K212 Downers Grove IL 60516-2217 Ph: (586) 354-8383 |
| NPI Number | 1740702968 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740702968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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