Organization · Type 2 NPI

Impact Mental Health Therapy LLC

Mental Health Counselor · Green Bay, WI

NPI number 1720713837 Active

Practice location

2300 Riverside Dr
Green Bay, WI 54301-1900

Mailing address

2250 Meadow Ridge Dr
De Pere, WI 54115-7200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720713837

Impact Mental Health Therapy LLC's National Provider Identifier is 1720713837, issued on Jul 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Green Bay, WI. The record was last updated on Jul 21, 2022.