institution
Major Impact, Inc.
Addiction (Substance Use Disorder) Counselor in Fort Myers, Florida
NPI 1407211535

Major Impact, Inc. is an Addiction (Substance Use Disorder) Counselor based in Fort Myers, FL and is specialized in Addiction (Substance Use Disorder). Major Impact, Inc. practices in Fort Myers, FL. The NPI Number for Major Impact, Inc. is 1407211535 and holds a License No. 2036AD2405-01 (Florida).

The current practice location address for Major Impact, Inc. is 1960 Velasco St, Fort Myers, FL and can be reached out via phone at 239-226-4357 and via fax at 239-226-4352.

Location: 1960 Velasco St, Fort Myers, FL, 33916-2761
institution
Provider Profile Details
NPI Number
1407211535
Provider Name
Major Impact, Inc.
Credential
Provider Entity Type
Organization
Address
1960 Velasco St, Fort Myers, FL, 33916-2761
Phone Number
239-226-4357
Fax Number
239-226-4352
Provider Enumeration Date
12/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003799000 05 FL
institution
Provider Business Practice Location Address Details
Address
1960 Velasco St
City
State
Zip
33916-2761
Phone Number
239-226-4357
Fax Number
239-226-4352
person
Provider Business Mailing Address Details
Address
1960 Velasco St
City
State
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
License No.
2036AD2405-01 (Florida)
Definition
Definition to come...
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