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IMPACT LIFE SOLUTIONS, LLC
NPI 1417739624
Counselor - Professional in Detroit, MI

Active since October 23, 2023
4204 BUCKINGHAM AVE, DETROIT, MI 48224(248) 571-4806 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Life Solutions, Llc NPPES

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

IMPACT LIFE SOLUTIONS, LLC (NPI 1417739624) is a healthcare organization registered as a professional in Detroit, Michigan and active in the NPI registry since October 2023. The organization lists Kelley Mays, Owner / Therapist, as its authorized official.

NPPES Registry Identity

NPI1417739624
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameIMPACT LIFE SOLUTIONS, LLC
Location Address4204 BUCKINGHAM AVEDetroit, MI 48224-3539
Mailing Address4204 Buckingham AveDetroit, MI 48224-3539 · (248) 571-4806
Phone(248) 571-4806
Organization SubpartNo
Authorized OfficialKelley MaysOwner / Therapist · (248) 571-4806
Enumeration DateOctober 23, 2023
Last NPPES UpdateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
✔ NPI 1417739624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
4204 BUCKINGHAM AVE, Detroit, MI 48224
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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

Other Providers at the Same Location NPPES

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

DR. KELLEY MAYS DMIN
Marriage & Family Therapist
4204 BUCKINGHAM AVE
DETROIT, MI 48224
Wayne County (248) 571-4806

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 Life Solutions, LLC's NPI number?

The NPI number for Impact Life Solutions, LLC is 1417739624. It was assigned to this organization in the NPPES registry on October 23, 2023.

Where is Impact Life Solutions, LLC located?

Impact Life Solutions, LLC is located at 4204 Buckingham Ave, Detroit, MI 48224. The listed phone number is (248) 571-4806.

What is Impact Life Solutions, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Impact Life Solutions, LLC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.