Organization
IMPACT MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER C HOWELL III (CEO)
(757) 399-1500
Entity
Organization
Contact information
Practice address
3303 AIRLINE BLVD STE 3C, PORTSMOUTH, VA 23701-2635
(757) 576-8180
(757) 399-1501
Mailing address
1101 MADISON PLZ STE 100, CHESAPEAKE, VA 23320-5179
(757) 576-8180
(757) 547-4584
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
VA
Other
Enumeration date
05/05/2014
Last updated
02/09/2018
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