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Organization
IMPACT LIFE, INC
Active
Organization
IMPACT LIFE, INC
Active
Parent organization
IMPACT LIFE, INC
Other names
IMPACT LIFE OUTPATIENT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPACT LIFE, INC
Authorized official
LAUREN STEWARD (DIRECTOR OF ADMINISTRATION)
(302) 388-1828
Entity
Organization
Contact information
Practice address
90 BLUE HEN DR, NEWARK, DE 19713-3406
(302) 485-0702
Mailing address
PO BOX 1269, HOCKESSIN, DE 19707-5269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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