Organization · Type 2 NPI
Major Impact Supports Inc
Addiction (Substance Use Disorder) Counselor · Fort Myers, FL
NPI number
1114650728
Active
Practice location
1960 Velasco St Ste J2
Fort Myers, FL 33916-2761
Fax (239) 226-4352
Other practice locations
- 462 E Cowboy Way Ste 2, Labelle, FL 33935-4445 · (239) 226-4357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Fort Myers
About NPI 1114650728
Major Impact Supports Inc's National Provider Identifier is 1114650728, issued on Jul 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 1, 2022.