IMPACT MENTAL HEALTH THERAPY LLC
NPI 1720713837
Counselor - Mental Health in Green Bay, WI

Active since July 21, 2022
2300 RIVERSIDE DR, GREEN BAY, WI 54301(507) 696-4034 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Mental Health

About IMPACT MENTAL HEALTH THERAPY LLC

This page provides the complete NPI Profile along with additional information for Impact Mental Health Therapy Llc, a provider established in Green Bay, Wisconsin operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1720713837 assigned on July 2022. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Hallie M Barbara Lpc (President)

NPI
1720713837 Verify this NPI
Provider Name
IMPACT MENTAL HEALTH THERAPY LLC
Entity Type
Organization
Location Address
2300 RIVERSIDE DR GREEN BAY, WI 54301
Location Phone
(507) 696-4034
Mailing Address
2250 MEADOW RIDGE DR DE PERE, WI 54115
Mailing Phone
(507) 696-4034
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2022
Last Update Date
07-21-2022
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A mental health counselor like Impact Mental Health Therapy Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HALLIE M BARBARA LPC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(507) 696-4034

Reviews for IMPACT MENTAL HEALTH THERAPY LLC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Community/Behavioral Health
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Non-emergency Medical Transport (VAN)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Counselor (Professional)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Counselor (Professional)
2300 RIVERSIDE DR
GREEN BAY, WI 54301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720713837, enumerated as an "organization" on July 21, 2022.

The provider is located at 2300 RIVERSIDE DR GREEN BAY, WI 54301 and the phone number is (507) 696-4034.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.