# IMPACT THERAPY, LLC

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

## Provider details

- **NPI number:** 1881025641
- **Authorized official:** MR. LAMARR J NORWOOD LICDC-CS (CEO)
- **Authorized official phone:** (567) 288-6769

## Contact information

- **Practice address:** 3450 W CENTRAL AVE STE 354, TOLEDO, OH 43606-1418
- **Practice address phone:** (567) 288-6769
- **Mailing address:** 3450 W CENTRAL AVE STE 354, TOLEDO, OH 43606-1418
- **Mailing address phone:** (567) 288-6769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 933549 | OH | Yes |

## Other

- **Enumeration date:** 12/04/2013
- **Last updated:** 01/09/2020