Impact Behavioral Health Llc
LBN: Internal Medicine And Pediatrics Associatesof Tallahassee Inc
Impact Behavioral Health Llc is an health care organization with primary practice located at 1965 Capital Cir Ne Suite 102, Tallahassee FL 32308-8401. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Internal Medicine And Pediatrics Associatesof Tallahassee Inc can be contacted via phone (850) 671-4600, or through Mignon, Yvette via phone (850) 656-2006.
Contact Information
Primary practice address
1965 Capital Cir Ne Suite 102
Tallahassee FL 32308-8401
Phone: (850) 671-4600
Fax: (850) 878-2863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 8447 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8447 | Florida |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6702 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6702 | Florida |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | Florida | |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1982922829 |
|---|---|
| LBN Legal business name | Internal Medicine And Pediatrics Associatesof Tallahassee Inc |
| DBA Doing business as | Impact Behavioral Health Llc |
| Authorized official | Mignon, Yvette Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 16th, 2010 |
| Last updated | Dec 1st, 2017 - about 7 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 | 1982922829 | NPPES |
| Florida | Other | 600680931 | MAGELLAN |
| Florida | Other | 2386 | MAGELLAN |
| Florida | MEDICAID | 648299630A | MAGELLAN |
| Florida | MEDICAID | 003214900 | MAGELLAN |
| Florida | Other | 8447 | MAGELLAN |
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