Organization
IMPACT LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE DUNCAN (CREDENTIALING SPECIALIST)
(434) 533-1088
Entity
Organization
Contact information
Practice address
316 BROOK PARK PL STE A1, FOREST, VA 24551-2766
(434) 533-1088
(434) 664-1177
Mailing address
316 BROOK PARK PL STE A1, FOREST, VA 24551-2766
(434) 533-1088
(434) 664-1177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/28/2014
Last updated
07/15/2026
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