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

Organization Addiction (Substance Use Disorder) Counselor · NPI 1427624634

Impact Me, Incorporated is an Addiction (Substance Use Disorder) Counselor in Charleston, West Virginia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
14
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Practice location Address checks out

1109 Highland Rd
Charleston, WV 25302-3007
Phone: (130) 444-4958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Local Education Agency (LEA) (primary) Taxonomy 251300000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Voluntary or Charitable Agency Taxonomy 251V00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Preferred Provider Organization Taxonomy 305R00000X
Assisted Living Facility Taxonomy 310400000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X
Home Delivered Meals Taxonomy 332U00000X

Record details

NPI number1427624634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seri Bosse — President · (304) 444-9584
NPI enumeratedMay 28, 2021
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021
Mailing address1109 Highland Rd, Charleston, WV 25302-3007

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