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

Impact Physician Group, Psychiatry LLC

Organization Psychiatry Physician · NPI 1457011207

Impact Physician Group, Psychiatry LLC is a Psychiatry Physician in Lufkin, Texas. 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

302 Gobblers Knob Rd
Lufkin, TX 75904-5419
Phone: (678) 967-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1457011207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 967-5599
NPI enumeratedDecember 21, 2021
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546

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