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IMPACT WELLNESS CENTER LLC
NPI 1205509205
Counselor - Mental Health in North Chesterfield, VA

Active since July 27, 2021
2700 GALENA AVE, NORTH CHESTERFIELD, VA 23237(702) 754-9136 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Wellness Center Llc NPPES

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

IMPACT WELLNESS CENTER LLC (NPI 1205509205) is a healthcare organization registered as a mental health in North Chesterfield, Virginia and active in the NPI registry since July 2021. The organization lists Phillip C Stafford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205509205
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIMPACT WELLNESS CENTER LLC
Location Address2700 GALENA AVENorth Chesterfield, VA 23237-4638
Mailing Address2700 Galena AveNorth Chesterfield, VA 23237-4638 · (702) 754-9136
Phone(702) 754-9136
Organization SubpartNo
Authorized OfficialPhillip C StaffordCeo · (702) 754-9063
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1205509205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X
2700 GALENA AVE, North Chesterfield, VA 23237
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Impact Wellness Center LLC's NPI number?

The NPI number for Impact Wellness Center LLC is 1205509205. It was assigned to this organization in the NPPES registry on July 27, 2021.

Where is Impact Wellness Center LLC located?

Impact Wellness Center LLC is located at 2700 Galena Ave, North Chesterfield, VA 23237. The listed phone number is (702) 754-9136.

What is Impact Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Impact Wellness Center LLC was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.