Impact Therapy, Llc

LBN: Impact Therapy, Llc
Impact Therapy, Llc is an health care organization with primary practice located at 1725 Hermitage Blvd , Tallahassee FL 32308-7709. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Impact Therapy, Llc can be contacted via phone (850) 325-6301, or through Prejean, Kelly Quin via phone (850) 325-6301.

Contact Information

Primary practice address
1725 Hermitage Blvd Tallahassee FL 32308-7709
Phone: (850) 325-6301
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prejean, Kelly Quin MA, CCC-SLP
Phone: (850) 325-6301

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1306449590
LBN Legal business name Impact Therapy, Llc
DBA Doing business as
Authorized official Prejean, Kelly Quin MA, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2020
Last updated Jun 26th, 2024 - about 6 months 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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