# IMPACT THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851871677
- **Authorized official:** MRS. KIM OATS LICDC-CS (ADMINISTRATOR)
- **Authorized official phone:** (419) 349-6011

## Contact information

- **Practice address:** 3450 W CENTRAL AVE STE 354, TOLEDO, OH 43606-1418
- **Practice address phone:** (419) 407-5578
- **Practice address fax:** (844) 272-8238
- **Mailing address:** 3450 W CENTRAL AVE STE 354, TOLEDO, OH 43606-1418
- **Mailing address phone:** (419) 407-5578
- **Mailing address fax:** (844) 272-8238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 01-7629 | OH | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 08/21/2018
- **Last updated:** 01/09/2020