Impact Psychology Pllc

LBN: Impact Psychology Pllc
Impact Psychology Pllc is an health care organization with primary practice located at 724 Bielenberg Drive Suite 4, Woodbury MN 55125-5512. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Impact Psychology Pllc can be contacted via phone (651) 204-4034, or through Eckerman, Jason via phone (651) 204-4034.

Contact Information

Primary practice address
724 Bielenberg Drive Suite 4 Woodbury MN 55125-5512
Phone: (651) 204-4034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eckerman, Jason PSYD
Phone: (651) 204-4034

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LP5825 Minnesota

Profile Details

NPI number 1164923843
LBN Legal business name Impact Psychology Pllc
DBA Doing business as
Authorized official Eckerman, Jason PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2018
Last updated Feb 27th, 2018 - about 6 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.

Request for update

Popular Providers