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Major Impact Supports Inc
Adolescent and Children Mental Health Clinic/Center in Fort Myers, Florida
NPI 1114650728

Major Impact Supports Inc is an Adolescent and Children Mental Health Clinic/Center based in Fort Myers, FL and is specialized in Adolescent and Children Mental Health. Major Impact Supports Inc practices in Fort Myers, FL. The NPI Number for Major Impact Supports Inc is 1114650728 and holds a License No. (Florida).

The current practice location address for Major Impact Supports Inc is 1960 Velasco St Ste J2, Fort Myers, FL and can be reached out via phone at 239-226-4357 and via fax at 239-226-4352. You can also correspond with Major Impact Supports Inc through the mailing address at 1960 VELASCO ST STE J2, FORT MYERS, FL - 33916-2761 (mailing address contact number: 239-226-4357).

Location: 1960 Velasco St Ste J2, Fort Myers, FL, 33916-2761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114650728
Provider Name
Major Impact Supports Inc
Credential
Provider Entity Type
Organization
Address
1960 Velasco St Ste J2, Fort Myers, FL, 33916-2761
Phone Number
239-226-4357
Fax Number
239-226-4352
Provider Enumeration Date
07/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1960 Velasco St Ste J2
City
Fort Myers
State
Florida
Zip
33916-2761
Phone Number
239-226-4357
Fax Number
239-226-4352
person
Provider Business Mailing Address Details
Address
1960 Velasco St Ste J2
City
Fort Myers
State
Florida
Zip
33916-2761
Phone Number
239-226-4357
Fax Number
239-226-4352
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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