Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Impact Carolina Services, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1780135681

Impact Carolina Services, Inc is an Addiction (Substance Use Disorder) Counselor in Gastonia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1006 Union Rd Ste B
Gastonia, NC 28054-0000
Phone: (704) 864-8775
Fax: (980) 225-0549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C005215 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 795 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence CD07873 (NC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NC1809906 (NC)

Record details

NPI number1780135681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Adedokun — Director · (704) 732-2006
NPI enumeratedOctober 17, 2016
Last updated in NPPESOctober 17, 2016
Mailing address106 Doctors Park, Suite B, Boger City, NC 28092-0000

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