Organization
IMPACT THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MOSER LMAC, LAPC (OWNER)
(701) 516-6980
Entity
Organization
Contact information
Practice address
3426 BAY SHORE BND SE, MANDAN, ND 58554-6259
(701) 516-6980
Mailing address
3426 BAY SHORE BND SE, MANDAN, ND 58554-6259
(701) 516-6980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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