IMPACT COUNSELING & SUPPORT SERVICES LLC


Address: 1901 Manhattan Blvd Bldg D306, Harvey, LA 70058-3582
Phone: 5042501888

IMPACT COUNSELING & SUPPORT SERVICES LLC (NPI# 1639675820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639675820
Entity Type Organization
Organization Name IMPACT COUNSELING & SUPPORT SERVICES LLC
Practice Address 1901 Manhattan Blvd Bldg D306
Harvey
LA 70058-3582
Mailing Address 1901 Manhattan Blvd Bldg D203
Harvey
LA 70058-3582
Practice Telephone 5042501888
Mailing Telephone 5043016330
Enumeration Date 2018-04-05
Last Update Date 2018-11-16
Authorized Official Name MS. TYSHICA S RHODES (OWNER/MANAGER)
Authorized Official Telephone 5053016330
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 1901 MANHATTAN BLVD BLDG D306
City HARVEY
State LA
Zip Code 70058-3582

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144853003 Carmen Nikita Ward-lewis Counselor 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 2020-02-19
1275023087 Michael Ellis Counselor 3820 Melissa Dr, Harvey, LA 70058 2018-05-16
1316436447 Affiliated Heart2heart Homecare Services, Inc. In Home Supportive Care 1901 Westbank Expy Ste 600, Harvey, LA 70058 2018-05-03
1720595804 Alkeisha Lachelle Clark Counselor 4209 L Ac Couture Dr., D, Harvey, LA 70058 2018-01-10
1659888253 Kevin A Velasquez Psychologist 81 Lake Lynn Dr, Harvey, LA 70058 2018-01-04
1629582937 Tessie Hart Counselor 426 Manhattan Blvd., Harvey, LA 70058 2017-11-22
1326557562 Lauretta Anne Gavin Counselor 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 2017-09-20
1760908792 Eboni Dillon Counselor 3148 Keith Way Dr, Harvey, LA 70058 2017-08-22
1194246207 Shawn Galmore Counselor 2808 Keithway Dr, Harvey, LA 70058 2017-06-28
1750811345 Elite Learning Academy Private Vehicle 1913 Sugarloaf Drive, Harvey, LA 70058 2017-06-15
Find all providers in zip 70058

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508483256 Erica T Carr Counselor 3837 Mercer Ln, Harvey, LA 70058-2134 2020-06-29
1992331623 Tracy Lynn Coleman Counselor 3437 E Parc Green St, Harvey, LA 70058-7032 2020-03-13
1144853003 Carmen Nikita Ward-lewis Counselor 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 2020-02-19
1235638248 Rochelle Irsch Keeling Counselor 2439 Manhattan Blvd Ste 309, Harvey, LA 70058-5360 2018-02-05
1700325818 Heidi Leydecker Counselor 1517 Curtis St, Harvey, LA 70058-2413 2017-02-22
1891143814 Travis Turnage Counselor 4252 Lac Bienville Dr, Harvey, LA 70058-5210 2016-05-31
1083076319 Troy Donahue Lovely Jr. Counselor 3837 Patricia Ln, Harvey, LA 70058-5605 2016-03-25
1568837771 Thomas Jones Jr. Counselor 2575 Whippletree Dr, Harvey, LA 70058-5002 2015-12-14
1962874719 Elliott Love Counselor 3704 Morriswood Dr, Harvey, LA 70058-1931 2015-10-20
1184095556 Samuel Lee Johnson IIi Counselor 2100 Woodmere Blvd Ste 135, Harvey, LA 70058-2294 2015-10-12
Find all providers in HARVEY

Competitor

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City HARVEY
Zip Code 70058

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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