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

Impact Outpatient Program LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1972176113

Impact Outpatient Program LLC is a Substance Abuse Rehabilitation Facility in Mt Washington, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
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

1200 N Bardstown Rd Ste A2
Mt Washington, KY 40047-7669
Phone: (502) 439-2248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1972176113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Thornsberry — Manager · (502) 439-2248
Other names Robert Alexander Center For Recovery
NPI enumeratedJuly 23, 2021
Last updated in NPPESSeptember 2, 2025
Certification dateJanuary 1, 2024
Mailing address1200 N Bardstown Rd Ste A2, Mt Washington, KY 40047-7669

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