Future Impression

LBN: Future Impression
Future Impression is an health care organization with primary practice located at 619 Sullivan Street , Charlotte NC 28214. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Future Impression can be contacted via phone (980) 365-9879, or through Broadnax, Bertina via phone (980) 365-9879.

Contact Information

Primary practice address
619 Sullivan Street Charlotte NC 28214
Phone: (980) 365-9879
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Broadnax, Bertina
Phone: (980) 365-9879

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1588161350
LBN Legal business name Future Impression
DBA Doing business as
Authorized official Broadnax, Bertina
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 8 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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