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Organization
MAJOR IMPACT SUPPORTS INC
Active
Organization
MAJOR IMPACT SUPPORTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON LAMBERT MAJOR SR. MS (PRESIDENT)
(239) 226-4357
Entity
Organization
Contact information
Practice address
1960 VELASCO ST STE J2, FORT MYERS, FL 33916-2761
(239) 226-4357
(239) 226-4352
Mailing address
1960 VELASCO ST STE J2, FORT MYERS, FL 33916-2761
(239) 226-4357
(239) 226-4352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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