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IMPACT THERAPY LLC
NPI 1881332922
Counselor - Mental Health in Union City, GA

Active since May 26, 2022CLIA 11D2332491 · Waiver
627 NORIC CV, UNION CITY, GA 30291(404) 662-0504 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2023, May 26, 2022 (2 updates tracked since 2022).

About Impact Therapy Llc NPPES

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

IMPACT THERAPY LLC (NPI 1881332922) is a healthcare organization registered as a mental health in Union City, Georgia and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Turnmeika Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881332922
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIMPACT THERAPY LLC
Location Address627 NORIC CVUnion City, GA 30291-3456
Mailing Address627 Noric CvUnion City, GA 30291-3456
Phone(404) 662-0504
Organization SubpartNo
Authorized OfficialTurnmeika SmithCeo · (404) 662-0504
Enumeration DateMay 26, 2022
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1881332922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
627 NORIC CV, Union City, GA 30291
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2332491

Impact Therapy, LLC · Riverdale, GA
Active · expires Oct 20, 2027
CLIA Number11D2332491
Laboratory TypeBehavioral Mental Health
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorTurnmeika Smith
Laboratory Phone(404) 662-0504
Laboratory LocationImpact Therapy, LLC1837 Highway 138, Riverdale, GA 30296
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

TURNMEIKA SMITH
Counselor (Professional)
627 NORIC CV
UNION CITY, GA 30291
Fulton County (404) 662-0504
IMPACT TRANSPORTATION, LLC
Non-emergency Medical Transport (VAN)
627 NORIC CV
UNION CITY, GA 30291
Fulton County (404) 662-0504

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 Therapy LLC's NPI number?

The NPI number for Impact Therapy LLC is 1881332922. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Impact Therapy LLC located?

Impact Therapy LLC is located at 627 Noric Cv, Union City, GA 30291. The listed phone number is (404) 662-0504.

What is Impact Therapy LLC's specialty?

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

Does Impact Therapy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2332491) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Impact Therapy LLC was last updated on October 3, 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.