Organization
IMPACT THERAPEUTIC & EDUCATIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSANDRA JARVI LCPC (CEO)
(443) 745-1474
Entity
Organization
Contact information
Practice address
7270 LASTING LIGHT WAY, COLUMBIA, MD 21045-5125
(443) 745-1474
Mailing address
7270 LASTING LIGHT WAY, COLUMBIA, MD 21045-5125
(443) 745-1474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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