Impact Me, Incorporated - Mental Health Clinic in Charleston, WV

Impact Me, Incorporated is a mental health clinic (Local Education Agency (lea)) in Charleston, West Virginia. The current practice location for Impact Me, Incorporated is 1109 Highland Rd, Charleston, West Virginia. For appointments, you can reach them via phone at (130) 444-4958. The mailing address for Impact Me, Incorporated is 1109 Highland Rd, Charleston, West Virginia and phone number is (130) 444-4958.

Impact Me, Incorporated is licensed to practice in * (Not Available) (license number ) and its NPI number is 1427624634. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (130) 444-4958.

Contact Information

Impact Me, Incorporated
1109 Highland Rd
Charleston
WV 25302-3007
(130) 444-4958
Not Available

Mental Health Clinic Profile

Full NameImpact Me, Incorporated
SpecialityLocal Education Agency (lea)
Location1109 Highland Rd, Charleston, West Virginia
Authorized Official Name and PositionSeri Bosse (PRESIDENT)
Authorized Official Contact3044449584
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Impact Me, Incorporated
1109 Highland Rd
Charleston
WV 25302-3007

Ph: (130) 444-4958
Impact Me, Incorporated
1109 Highland Rd
Charleston
WV 25302-3007

Ph: (130) 444-4958

NPI Details:

NPI Number1427624634
Provider Enumeration Date05/28/2021
Last Update Date11/04/2021
Certification Date11/04/2021

Medical Identifiers

Medical identifiers for Impact Me, Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427624634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
251300000XLocal Education Agency (lea) (* (Not Available))Primary
251B00000XCase Management (* (Not Available))Secondary
251C00000XDay Training, Developmentally Disabled Services (* (Not Available))Secondary
251E00000XHome Health (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
251V00000XVoluntary Or Charitable (* (Not Available))Secondary
253Z00000XIn Home Supportive Care (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (* (Not Available))Secondary
305R00000XPreferred Provider Organization (* (Not Available))Secondary
310400000XAssisted Living Facility (* (Not Available))Secondary
320800000XCommunity Based Residential Treatment Facility, Mental Illness (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Secondary
332U00000XHome Delivered Meals (* (Not Available))Secondary

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› Verified 6 days ago

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