Impact Community Resources, Llc

LBN: Impact Community Resources, Llc
Impact Community Resources, Llc is an health care organization with primary practice located at 301 Mccullough Dr , Charlotte NC 28262-3310. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Transportation Services / Non-emergency Medical Transport (VAN), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Impact Community Resources, Llc can be contacted via phone (980) 276-5142, or through Randall, Carlita via phone (980) 276-5142.

Contact Information

Primary practice address
301 Mccullough Dr Charlotte NC 28262-3310
Phone: (980) 276-5142
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Randall, Carlita LCMHC
Phone: (980) 276-5142

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1356069264
LBN Legal business name Impact Community Resources, Llc
DBA Doing business as
Authorized official Randall, Carlita LCMHC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2022
Last updated Jan 5th, 2023 - about last year

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.

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