Organization · Type 2 NPI

Impact Wellness LLC

Community/Behavioral Health Agency · Jacksonville, FL

NPI number 1356254973 Active

Practice location

12420 Rochford Ln
Jacksonville, FL 32225-4611

Mailing address

1005 Southern Hills Dr
Orange Park, FL 32065-2652

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1356254973

Impact Wellness LLC's National Provider Identifier is 1356254973, issued on Sep 24, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 24, 2026.