IMPACT BEHAVIORAL SERVICES LLC
NPI 1265162846
Community/Behavioral Health in Fort Wayne, IN
About Impact Behavioral Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT BEHAVIORAL SERVICES LLC (NPI 1265162846) is a healthcare organization registered as a community/behavioral health in Fort Wayne, Indiana and active in the NPI registry since June 2022. The organization lists Shawn A Wallace, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Behavioral Services LLC's NPI number?
The NPI number for Impact Behavioral Services LLC is 1265162846. It was assigned to this organization in the NPPES registry on June 15, 2022.
Where is Impact Behavioral Services LLC located?
Impact Behavioral Services LLC is located at 4606 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 740-5139.
What is Impact Behavioral Services LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
When was this NPI record last updated?
The NPPES record for Impact Behavioral Services LLC was last updated on June 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.