Impact Carolina Services Inc.

LBN: Impact Carolina Services Inc.
Impact Carolina Services Inc. is an health care organization with primary practice located at 106 Doctors Park , Lincolnton NC 28092-4406. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Impact Carolina Services Inc. can be contacted via phone (704) 533-0277, or through Adedokun, Joseph Olatunde via phone (704) 533-0277.

Contact Information

Primary practice address
106 Doctors Park Lincolnton NC 28092-4406
Phone: (704) 533-0277
Fax: (704) 685-5937
Website:
Map and Directions
Authorized official contact:
Name: Adedokun, Joseph Olatunde PH.D.
Phone: (704) 533-0277

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 795 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 795 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 795 North Carolina

Profile Details

NPI number 1376789925
LBN Legal business name Impact Carolina Services Inc.
DBA Doing business as
Authorized official Adedokun, Joseph Olatunde PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2009
Last updated Jan 5th, 2009 - about 17 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 1376789925 NPPES
North Carolina MEDICAID 6111767

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