Organization
IMPACT EDUCATION & THERAPY, LLC
Active
Organization
IMPACT EDUCATION & THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIVES W THORNTON M.S. LMHCA (MEMBER)
(304) 319-0581
Entity
Organization
Contact information
Practice address
4945 MISSION RD, BELLINGHAM, WA 98226-9528
(304) 319-0581
(888) 972-8992
Mailing address
4945 MISSION RD, BELLINGHAM, WA 98226-9528
(304) 319-0581
(888) 972-8992
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
603324417
WA
Other
Enumeration date
01/29/2011
Last updated
12/12/2016
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