IMPACT CAROLINA SERVICES INC


Address: 1006 Union Road, Suite B, Gastonia, NC 28054-0000
Phone: 7048648775

IMPACT CAROLINA SERVICES INC (NPI# 1861941049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861941049
Entity Type Organization
Organization Name IMPACT CAROLINA SERVICES INC
Practice Address 1006 Union Road
Suite B
Gastonia
NC 28054-0000
Practice Telephone 7048648775
Practice Fax Number 9802250549
Mailing Telephone 7048648775
Mailing Fax Number 9802250549
Enumeration Date 2016-09-28
Last Update Date 2016-09-28
Authorized Official Name DR. JOSEPH O ADEDOKUN (DIRECTOR)
Authorized Official Telephone 7047322006
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
NC Allopathic & Osteopathic Physicians
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NC Physician Assistants & Advanced Practice Nursing Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6006650 05

Office Location

Street Address 1006 UNION ROAD
SUITE B
City GASTONIA
State NC
Zip Code 28054-0000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780135681 Impact Carolina Services,inc Counselor 1006 Union Road, Suite B, Gastonia, NC 28054-0000 2016-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225671423 Michaela Karsyn Morris Behavioral Analyst 2875 Court Dr. B, Gastonia, NC 28054 2019-10-21
1982263810 Brenda Sue Fox Occupational Therapist Brian Center, 969 Cox Rd, Gastonia, NC 28054 2019-06-13
1174096911 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 469 Hospital Drive, Suite B1, Gastonia, NC 28054 2019-01-04
1255801817 Jarae Mcswain Counselor 1558 Union Road, Ste F, Gastonia, NC 28054 2018-11-27
1427549807 Alterman & Dhillon Charlotte Metro, Pplc Dentist 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 2018-05-22
1871083147 Terrence Lamont Campbell Dentist 2641 Court Dr Ste A, Gastonia, NC 28054 2018-05-13
1861995367 Jefferson and Jefferson LLC. Respite Care 945 East 6 Ave, Gastonia, NC 28054 2018-03-12
1790154912 Tyler Adcock Pharmacist 2324 South New Hope Rd, Gastonia, NC 28054 2015-09-17
1922481894 Alesha Nicole Logan Nurse Practitioner 1895 Hoffman Rd Ste A, Gastonia, NC 28054 2015-07-09
1457732596 Buffie Baker Eller Counselor 2005 Flint Lane, Gastonia, NC 28054 2015-06-15
Find all providers in zip 28054

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578172615 Heather Riggs Counselor 1931 E Hudson Blvd Apt F, Gastonia, NC 28054-1617 2020-07-24
1447895156 Courtney Pack Counselor 359 W Main Ave Ste F, Gastonia, NC 28052-4509 2019-11-18
1447734181 Blossom Community Services Counselor 1911 Willimax Ave, Gastonia, NC 28054-7440 2018-09-19
1164930293 Dianne Huitt Counselor 176 W Franklin Blvd, Gastonia, NC 28052-4107 2018-01-10
1811388911 Amanda Michelle Collman-murphy Counselor 1132 E Franklin Blvd, Gastonia, NC 28054-4244 2015-02-10
1740694785 Grace Muretta Perkins Counselor 2020 Remount Rd Ste 105e, Gastonia, NC 28054-7478 2014-06-18
1437581279 Letha Lucinda Stroman Counselor 418 S South St, Gastonia, NC 28052-4380 2013-08-03
1528408002 Carolina Maria Abello Counselor 150 Buena Vale Dr, Gastonia, NC 28056-8509 2013-06-28
1770821639 Deidre Shawn Williams Counselor 2224 Hudson Landings Dr Apt H, Gastonia, NC 28054-0735 2013-01-27
1346591161 Joey Douglas Lockman Counselor 325 N Marietta St, Gastonia, NC 28052-2331 2012-09-20
Find all providers in GASTONIA

Competitor

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City GASTONIA
Zip Code 28054

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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