| United Impact, Llc | |
|
404 El Destinado Dr Tallahassee FL 32312-1607 | |
| (850) 510-0915 | |
| Not Available |
| Full Name | United Impact, Llc |
|---|---|
| Speciality | Psychologist - Health |
| Location | 404 El Destinado Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Philander Carol Mccray-head (PART OWNER) |
| Authorized Official Contact | 8505100915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Impact, Llc Po Box 1225 Tallahassee FL 32302-1225 Ph: (850) 510-0915 | United Impact, Llc 404 El Destinado Dr Tallahassee FL 32312-1607 Ph: (850) 510-0915 |
| NPI Number | 1114543568 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114543568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
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