Organization
UNITED IMPACT, LLC
Active
Organization
UNITED IMPACT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHILANDER CAROL MCCRAY-HEAD (PART OWNER)
(850) 510-0915
Entity
Organization
Contact information
Practice address
404 EL DESTINADO DR, TALLAHASSEE, FL 32312-1607
(850) 510-0915
Mailing address
PO BOX 1225, TALLAHASSEE, FL 32302-1225
(850) 510-0915
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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