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Impact Carolina Services
Adult Health Nurse Practitioner in Gastonia, North Carolina
NPI 1629311063

Impact Carolina Services is an Adult Health Nurse Practitioner based in Gastonia, NC and is specialized in Adult Health. Impact Carolina Services practices in Gastonia, NC. The NPI Number for Impact Carolina Services is 1629311063 and holds a License No. 795 (North Carolina).

The current practice location address for Impact Carolina Services is 1552 Union Rd, Gastonia, NC and can be reached out via phone at 704-852-9210 and via fax at 704-852-9211. You can also correspond with Impact Carolina Services through the mailing address at 1552 UNION RD, GASTONIA, NC - 28054-5523 (mailing address contact number: 704-852-9210).

Location: 1552 Union Rd, Gastonia, NC, 28054-5523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629311063
Provider Name
Impact Carolina Services
Credential
Provider Entity Type
Organization
Address
1552 Union Rd, Gastonia, NC, 28054-5523
Phone Number
704-852-9210
Fax Number
704-852-9211
Provider Enumeration Date
04/04/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5004910 05 NC
6003129 05 NC
891036Y 05 NC
5004878 05 NC
6111767 05 NC
institution
Provider Business Practice Location Address Details
Address
1552 Union Rd
City
Gastonia
State
North Carolina
Zip
28054-5523
Phone Number
704-852-9210
Fax Number
704-852-9211
person
Provider Business Mailing Address Details
Address
1552 Union Rd
City
Gastonia
State
North Carolina
Zip
28054-5523
Phone Number
704-852-9210
Fax Number
704-852-9211
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
5004910 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
5004878 (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 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
NC 93-00472 (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 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
C002728 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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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