IMPACT COUNSELING AND CONSULTING LLC - NPI 1417443094 - Community/Behavioral Health in Beverly Hills, FL

Q: What is the provider's specialty?

The provider's specialty is Community/Behavioral Health with taxonomy code 251S00000X.

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About Impact Counseling And Consulting Llc NPPES

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

IMPACT COUNSELING AND CONSULTING LLC (NPI 1417443094) is a healthcare organization registered as a community/behavioral health in Beverly Hills, Florida and active in the NPI registry since July 2018. The organization lists Myra Fairline Ricketts, Owner, as its authorized official.

NPPES Registry Identity

NPI1417443094

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameIMPACT COUNSELING AND CONSULTING LLC

Location Address3404 N LECANTO HWY STE DBeverly Hills, FL 34465-3569

Mailing AddressPo Box 2581Inverness, FL 34451-2581

Phone(352) 587-2378

Organization SubpartNo

Authorized OfficialMyra Fairline RickettsOwner · (352) 587-2378

Enumeration DateJuly 6, 2018

Last NPPES UpdateMarch 17, 20236 updates tracked since enumeration

NPPES CertifiedMarch 17, 2023

✔ NPI 1417443094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in FL · MH16109

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH16109 (FL)

3404 N LECANTO HWY STE D, Beverly Hills, FL 34465

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Other Identifiers 1

Medicaid1017033-00FL

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 ›

Other Providers at the Same Location NPPES 20

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

DR. SANDREW WRIGHT II

Counselor (Pastoral)