Organization · Type 2 NPI

Internal Medicine and Pediatrics Associatesof Tallahassee Inc

Substance Abuse Rehabilitation Facility · Tallahassee, FL

NPI number 1982922829 Active

Practice location

1965 Capital Cir NE, Suite 102
Tallahassee, FL 32308-8401

Call (850) 671-4600 Map

Fax (850) 878-2863

Mailing address

1965 Capital Cir NE Ste 200
Tallahassee, FL 32308-8402

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	8447 (FL)
Mental Health Counselor	101YM0800X	8447 (FL)
Social Worker	104100000X	6702 (FL)
Clinical Social Worker	1041C0700X	6702 (FL)
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

10 other providers at this address

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NPI record

NPI: 1982922829
Entity type: Organization (Type 2)
Issued: May 16, 2010
Last updated: Dec 1, 2017
Status: Active
Subpart: Yes of Internal Medicine and Pediatrics Associatesof Tallahassee Inc

Other names

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Impact Behavioral Health LLC · doing business as

Authorized official

Yvette Mignon, MD
Owner
(850) 656-2006

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982922829

Internal Medicine and Pediatrics Associatesof Tallahassee Inc's National Provider Identifier is 1982922829, issued on May 16, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Tallahassee, FL. The record was last updated on Dec 1, 2017.