Organization · Type 2 NPI
Impact Psychotherapy LLC
Mental Health Counselor · Bridgeport, CT
NPI number
1093697302
Active
Practice location
360 Polk St
Bridgeport, CT 06606-3918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1093697302
Impact Psychotherapy LLC's National Provider Identifier is 1093697302, issued on Jul 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 25, 2025.