Impact Behavioral Services LLC
Impact Behavioral Services LLC is a Community/Behavioral Health Agency in Fort Wayne, Indiana. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4606 E State BlvdFort Wayne, IN 46815-6993
Phone: (260) 740-5139
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1265162846 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shawn Wallace — Owner · (260) 740-5139 |
| NPI enumerated | June 15, 2022 |
| Last updated in NPPES | June 15, 2022 |
| Certification date | June 15, 2022 |
| Mailing address | 2918 Elmwood Ct, Fort Wayne, IN 46804-6100 |
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