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IMPACTFUL THERAPY SERVICES LLC
NPI 1306200373
Speech-Language Pathologist in Saint Johns, FL

Active since April 06, 2016
308 TOLLERTON AVE, SAINT JOHNS, FL 32259(404) 452-1640 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Impactful Therapy Services Llc NPPES

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

IMPACTFUL THERAPY SERVICES LLC (NPI 1306200373) is a healthcare organization registered as a speech-language pathologist in Saint Johns, Florida and active in the NPI registry since April 2016. The organization lists Elizabeth Adeyemo, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1306200373
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameIMPACTFUL THERAPY SERVICES LLC
Location Address308 TOLLERTON AVESaint Johns, FL 32259-6305
Mailing Address308 Tollerton AveSaint Johns, FL 32259-6305
Phone(404) 452-1640
Organization SubpartNo
Authorized OfficialElizabeth AdeyemoSpeech-language Pathologist · (404) 452-1640
Enumeration DateApril 6, 2016
✔ NPI 1306200373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
308 TOLLERTON AVE, Saint Johns, FL 32259
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Impactful Therapy Services LLC's NPI number?

The NPI number for Impactful Therapy Services LLC is 1306200373. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is Impactful Therapy Services LLC located?

Impactful Therapy Services LLC is located at 308 Tollerton Ave, Saint Johns, FL 32259. The listed phone number is (404) 452-1640.

What is Impactful Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Impactful Therapy Services LLC accept?

Health plans from Molina Healthcare list Impactful Therapy Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Impactful Therapy Services LLC was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.