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Organization
THE HEALING IMPACT, INC
Active
Organization
THE HEALING IMPACT, INC
Active
Other names
The Healing Impact LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY ELLIS LMHC (CEO)
(850) 261-9032
Entity
Organization
Contact information
Practice address
4 9TH AVE STE F, SHALIMAR, FL 32579-1742
(850) 420-9317
(850) 505-3078
Mailing address
5170 ANNIE RUTH ST, MILTON, FL 32570-8153
(850) 420-9317
(850) 505-3078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154988772
NPI
FL
01
—
1345573506
NPI
FL
01
—
1861792467
NPI
—
Enumeration date
05/20/2019
Last updated
05/20/2025
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