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:
Map and Directions
Authorized official contact:
Name: Mignon, Yvette Doctor of Medicine (MD)
Phone: (850) 656-2006

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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