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UNITED IMPACT, LLC
NPI 1114543568
Psychologist - Health in Tallahassee, FL

Active since June 22, 2020
404 EL DESTINADO DR, TALLAHASSEE, FL 32312(850) 510-0915 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About United Impact, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNITED IMPACT, LLC (NPI 1114543568) is a healthcare organization registered as a health in Tallahassee, Florida and active in the NPI registry since June 2020. The organization lists Philander Carol Mccray-head, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1114543568
Entity TypeOrganization
Primary Taxonomy103TH0004X
Legal Business NameUNITED IMPACT, LLC
Location Address404 EL DESTINADO DRTallahassee, FL 32312-1607
Mailing AddressPo Box 1225Tallahassee, FL 32302-1225 · (850) 510-0915
Phone(850) 510-0915
Organization SubpartNo
Authorized OfficialPhilander Carol Mccray-headPart Owner · (850) 510-0915
Enumeration DateJune 22, 2020
NPPES CertifiedJune 22, 2020
✔ NPI 1114543568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
404 EL DESTINADO DR, Tallahassee, FL 32312
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENVISIONLIFESERVICES,LLC
Clinic/Center (Developmental Disabilities)
404 EL DESTINADO DR
TALLAHASSEE, FL 32312
Leon County (850) 510-0915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is United Impact, LLC's NPI number?

The NPI number for United Impact, LLC is 1114543568. It was assigned to this organization in the NPPES registry on June 22, 2020.

Where is United Impact, LLC located?

United Impact, LLC is located at 404 El Destinado Dr, Tallahassee, FL 32312. The listed phone number is (850) 510-0915.

What is United Impact, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

When was this NPI record last updated?

The NPPES record for United Impact, LLC was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.