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

Impact Lives Consulting Group LLC

Organization Community Health Clinic/Center · NPI 1578120440

Impact Lives Consulting Group LLC is a Community Health Clinic/Center in Miami, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11613 SW 216th St
Miami, FL 33170-2933
Phone: (800) 460-2152
Fax: (800) 460-2152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X

Record details

NPI number1578120440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jolie Woodstock — Director Of Accounting & H/R · (800) 460-2152
NPI enumeratedMay 24, 2019
Last updated in NPPESMay 24, 2019
Mailing address11613 Sw 216th St, Miami, FL 33170-2933

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