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Impact Carolina Services, Inc
Adult Health Nurse Practitioner in Charlotte, North Carolina
NPI 1619285756

Impact Carolina Services, Inc is an Adult Health Nurse Practitioner based in Charlotte, NC and is specialized in Adult Health. Impact Carolina Services, Inc practices in Charlotte, NC. The NPI Number for Impact Carolina Services, Inc is 1619285756 and holds a License No. 795 (North Carolina).

The current practice location address for Impact Carolina Services, Inc is 2848 Queen City Dr Ste G, Charlotte, NC and can be reached out via phone at 704-405-1617 and via fax at 704-405-1619.

Location: 2848 Queen City Dr Ste G, Charlotte, NC, 28208-2739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619285756
Provider Name
Impact Carolina Services, Inc
Credential
Provider Entity Type
Organization
Address
2848 Queen City Dr Ste G, Charlotte, NC, 28208-2739
Phone Number
704-405-1617
Fax Number
704-405-1619
Provider Enumeration Date
09/23/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6006650 05 NC
institution
Provider Business Practice Location Address Details
Address
2848 Queen City Dr Ste G
City
Charlotte
State
North Carolina
Zip
28208-2739
Phone Number
704-405-1617
Fax Number
704-405-1619
person
Provider Business Mailing Address Details
Address
2848 Queen City Dr Ste G
City
Charlotte
State
North Carolina
Zip
28208-2739
Phone Number
704-405-1617
Fax Number
704-405-1619
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0600071 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
NC 2005-00391 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C001664 (North Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
5171 (North Carolina)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
795 (North Carolina)
Definition
Definition to come...
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