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IMPACT CAROLINA SERVICES,INC
NPI 1780135681
Counselor - Mental Health in Gastonia, NC

Active since October 17, 2016
1006 UNION ROAD, SUITE B, GASTONIA, NC 28054(704) 864-8775(980) 225-0549 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Carolina Services,inc NPPES

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

IMPACT CAROLINA SERVICES,INC (NPI 1780135681) is a healthcare organization registered as a mental health in Gastonia, North Carolina and active in the NPI registry since October 2016. The organization lists Joseph Adedokun, Director, as its authorized official.

NPPES Registry Identity

NPI1780135681
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIMPACT CAROLINA SERVICES,INC
Location Address1006 UNION ROAD, SUITE BGastonia, NC 28054-0000
Mailing Address106 Doctors Park, Suite BBoger City, NC 28092-0000 · (704) 732-2006 · Fax (704) 732-0303
Phone(704) 864-8775
Fax(980) 225-0549
Organization SubpartNo
Authorized OfficialJoseph AdedokunDirector · (704) 732-2006
Enumeration DateOctober 17, 2016
✔ NPI 1780135681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · C005215
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 795 (NC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License CD07873 (NC)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License NC1809906 (NC)
1006 UNION ROAD, Gastonia, NC 28054
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Other Identifiers 3

Medicare UPIN2347954NC
Medicaid5918094NC
Medicaid6008555NC

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.

IMPACT CAROLINA SERVICES INC
Counselor (Addiction (Substance Use Disorder))
1006 UNION ROAD, SUITE B
GASTONIA, NC 28054
Gaston County (704) 864-8775

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 Carolina Services,inc's NPI number?

The NPI number for Impact Carolina Services,inc is 1780135681. It was assigned to this organization in the NPPES registry on October 17, 2016.

Where is Impact Carolina Services,inc located?

Impact Carolina Services,inc is located at 1006 Union Road Suite B, Gastonia, NC 28054. The listed phone number is (704) 864-8775.

What is Impact Carolina Services,inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Impact Carolina Services,inc was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.