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

Impact Mental Health Therapy LLC

Organization Mental Health Counselor · NPI 1720713837

Impact Mental Health Therapy LLC is a Mental Health Counselor in Green Bay, Wisconsin. 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.

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Practice location Address checks out

2300 Riverside Dr
Green Bay, WI 54301-1900
Phone: (507) 696-4034
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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

Record details

NPI number1720713837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hallie Barbara — President · (507) 696-4034
NPI enumeratedJuly 21, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address2250 Meadow Ridge Dr, De Pere, WI 54115-7200

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