Impact Life Solutions, Llc

LBN: Impact Life Solutions, Llc
Impact Life Solutions, Llc is an health care organization with primary practice located at 4204 Buckingham Ave , Detroit MI 48224-3539. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Impact Life Solutions, Llc can be contacted via phone (248) 571-4806, or through Mays, Kelley via phone (248) 571-4806.

Contact Information

Primary practice address
4204 Buckingham Ave Detroit MI 48224-3539
Phone: (248) 571-4806
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mays, Kelley DMIN
Phone: (248) 571-4806

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1417739624
LBN Legal business name Impact Life Solutions, Llc
DBA Doing business as
Authorized official Mays, Kelley DMIN
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2023
Last updated Oct 24th, 2023 - about 2 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.

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