# MAJOR IMPACT SUPPORTS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114650728
- **Authorized official:** MR. CLAYTON LAMBERT MAJOR SR. MS (PRESIDENT)
- **Authorized official phone:** (239) 226-4357

## Contact information

- **Practice address:** 1960 VELASCO ST STE J2, FORT MYERS, FL 33916-2761
- **Practice address phone:** (239) 226-4357
- **Practice address fax:** (239) 226-4352
- **Mailing address:** 1960 VELASCO ST STE J2, FORT MYERS, FL 33916-2761
- **Mailing address phone:** (239) 226-4357
- **Mailing address fax:** (239) 226-4352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 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