Organization
IMPACT LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN EDWIN WEST JR. (DIRECTOR)
(434) 660-2917
Entity
Organization
Contact information
Practice address
630 WYNDHURST DR, SUITE F, LYNCHBURG, VA 24502-3454
(434) 533-1088
Mailing address
630 WYNDHURST DR, SUITE F, LYNCHBURG, VA 24502-3454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/28/2014
Last updated
06/10/2025
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