<Unavail>

LBN: Major Impact, Inc.
<Unavail> is an health care organization with primary practice located at 1960 Velasco St Suite J-2, Fort Myers FL 33916-2761. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Major Impact, Inc. can be contacted via phone (239) 226-4357, or through Major, Clayton Lambert via phone (239) 226-4357.

Contact Information

Primary practice address
1960 Velasco St Suite J-2 Fort Myers FL 33916-2761
Phone: (239) 226-4357
Fax: (239) 226-4352
Website:
Map and Directions
Authorized official contact:
Name: Major, Clayton Lambert M.S.
Phone: (239) 226-4357

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2036AD2405-01 Florida

Profile Details

NPI number 1407211535
LBN Legal business name Major Impact, Inc.
DBA Doing business as <Unavail>
Authorized official Major, Clayton Lambert M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 16th, 2015 - about 11 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 1407211535 NPPES
Florida MEDICAID 003799000

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