Impact Carolina Services, Inc
LBN: Impact Carolina Services, Inc
Impact Carolina Services, Inc is an health care organization with primary practice located at 2848 Queen City Dr Ste G , Charlotte NC 28208-2739. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Impact Carolina Services, Inc can be contacted via phone (704) 405-1617, or through Adedokun, Joseph via phone (704) 405-1617.
Contact Information
Primary practice address
2848 Queen City Dr Ste G
Charlotte NC 28208-2739
Phone: (704) 405-1617
Fax: (704) 405-1619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 795 | North Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5171 | North Carolina |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C001664 | North Carolina |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | NC 2005-00391 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0600071 | North Carolina |
Profile Details
NPI number | 1619285756 |
---|---|
LBN Legal business name | Impact Carolina Services, Inc |
DBA Doing business as | |
Authorized official | Adedokun, Joseph PH.D. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 23rd, 2010 |
Last updated | Sep 23rd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619285756 | NPPES |
North Carolina | MEDICAID | 6006650 |
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