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Organization

IMPACT HEALTHCARE AND WELLNESS

Active
Other names
Impact Mental Healthcare and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DANIELLE S. PATTON LPC, NCC (LICENSE PROFESSIONAL COUNSELOR)
(832) 432-0303
Entity
Organization

Contact information

Practice address
7118 CHAMPIONS CENTRE ESTATE DR, HOUSTON, TX 77069-2347
(832) 432-0303
Mailing address
7118 CHAMPIONS CENTRE ESTATE DR, HOUSTON, TX 77069-2347
(832) 814-6167

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87-8562783
BLUE CROSS BLUE SHIELD
TX
01
878562783
AMERIGROUP
TX
Enumeration date
04/22/2022
Last updated
12/13/2024
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