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

Impact Therapy, PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1619763299

Impact Therapy, PLLC is an Addiction (Substance Use Disorder) Counselor in Mandan, North Dakota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3426 Bay Shore Bnd SE
Mandan, ND 58554-6259
Phone: (701) 516-6980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1619763299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Moser — Owner · (701) 516-6980
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address3426 Bay Shore Bnd Se, Mandan, ND 58554-6259

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