Impact Community Support Services, Inc.

LBN: Impact Community Support Services, Inc.
Impact Community Support Services, Inc. is an health care organization with primary practice located at 10130 Mallard Creek Rd Suite 300, Charlotte NC 28262-6000. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Impact Community Support Services, Inc. can be contacted via phone (704) 506-6204, or through Isaiah, Shawntal via phone (704) 506-6204.

Contact Information

Primary practice address
10130 Mallard Creek Rd Suite 300 Charlotte NC 28262-6000
Phone: (704) 506-6204
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Isaiah, Shawntal Licensed Clinical Social Worker (LCSW)
Phone: (704) 506-6204

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005180 North Carolina

Profile Details

NPI number 1154475572
LBN Legal business name Impact Community Support Services, Inc.
DBA Doing business as
Authorized official Isaiah, Shawntal Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 6 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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