IMPACT BEHAVIORAL SERVICES (NPI# 1891097457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891097457 |
| Entity Type | Organization |
| Organization Name | IMPACT BEHAVIORAL SERVICES |
| Practice Address |
256 Honeysuckle Rd. Dothan AL 36305-1168 |
| Mailing Address |
256 Honeysuckle Rd Ste 10 Dothan AL 36305-1168 |
| Practice Telephone | 3347972718 |
| Mailing Telephone | 3347972718 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | ALINE M MAYS-EASLEY (THERAPSIT) |
| Authorized Official Telephone | 3347972718 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Impact Behavioral Services LLC | 4500 S Monaco St, #1036, Denver, CO 80237 |
| Street Address |
256 HONEYSUCKLE RD. |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023656089 | Life Counseling Services | Counselor | 411 S Foster St, Dothan, AL 36301-2635 | 2019-12-20 |
| 1952955569 | Latonya L. Dorsey | Counselor | 101 Denise St, Dothan, AL 36305-9331 | 2019-07-31 |
| 1780169417 | Walter L Bowers | Counselor | 2256 Montgomery Hwy Ste 6, Dothan, AL 36303-3278 | 2018-09-27 |
| 1295275386 | Nautilus Life Solutions LLC | Counselor | 211 Aspen Cir, Dothan, AL 36303-2832 | 2017-03-08 |
| 1245690361 | New Foundations Counseling Services, LLC | Counselor | 181 Candle Brook Dr, Dothan, AL 36303-1877 | 2016-03-02 |
| 1104166958 | Claire Maria Treadwell | Counselor | 4606 Memphis Church Rd, Dothan, AL 36301-8385 | 2013-02-14 |
| 1134411325 | The Counseling Place | Counselor | 2310 S Brannon Stand Rd, 1, Dothan, AL 36305-7004 | 2011-05-06 |
| 1457683146 | Craig Dennis Boesch | Counselor | 600 Earline Rd, Dothan, AL 36305-4226 | 2010-02-04 |
| 1043449424 | Mary Frances Lockwood | Counselor | 218 Wicklow Dr, Dothan, AL 36303-1647 | 2009-07-07 |
| 1487892105 | Earl C. Jones, Inc | Counselor | 300 Columbia Hwy # 3, Dothan, AL 36301-1726 | 2009-02-03 |
| Find all providers in DOTHAN | ||||
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| 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.