IMPACT ENDEAVORS LLC (NPI# 1972081537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972081537 |
| Entity Type | Organization |
| Organization Name | IMPACT ENDEAVORS LLC |
| Practice Address |
44 Cooper St Ste 108 Woodbury NJ 08096-4642 |
| Mailing Address |
554 Capri Ct Williamstown NJ 08094-3044 |
| Practice Telephone | 8562292032 |
| Mailing Telephone | 8562292032 |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-04 |
| Authorized Official Name | DONNA HALLWORTH (OWNER) |
| Authorized Official Telephone | 8562292032 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
44SC0130790 | NJ | Ambulatory Health Care Facilities |
| Street Address |
44 COOPER ST STE 108 |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-4642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1164923843 | Impact Psychology Pllc | Clinic/Center | 724 Bielenberg Drive, Suite 4, Woodbury, MN 55125-5512 | 2018-02-27 |
| 1942756309 | New Concept Counseling L.l.c | Clinic/Center | 6043 Hudson Rd Ste 399j, Woodbury, MN 55125-1028 | 2016-08-26 |
| 1194365940 | Robyn L. Burt Counseling LLC | Clinic/Center | 65 Cooper St, Woodbury, NJ 08096-4646 | 2020-01-09 |
| 1023660842 | Acenda, Inc. | Clinic/Center | 404 Tatum St, Woodbury, NJ 08096-3499 | 2019-07-11 |
| 1932766847 | Garden State Psychiatric Services, LLC | Clinic/Center | 58 Euclid St, Woodbury, NJ 08096-4626 | 2019-05-27 |
| 1003375684 | Feelwell LLC | Clinic/Center | 67 Cooper St, Woodbury, NJ 08096-4628 | 2019-03-13 |
| 1285142000 | Hollychase, LLC | Clinic/Center | 190 N Evergreen Ave Ste 202, Woodbury, NJ 08096-1862 | 2018-01-15 |
| 1780812446 | Family Care Connections, LLC | Clinic/Center | 44 Cooper St, Suite 6, Woodbury, NJ 08096-4640 | 2009-07-01 |
| 1255572095 | Akv Psychological and Consulting Services, LLC | Clinic/Center | 1976 Wooddale Dr, Woodbury, MN 55125-4358 | 2009-03-06 |
| Find all providers in WOODBURY | ||||
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| 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.