OrganizationActive
Impact Behavior Health Services LLC.
NPI 1124494802 · Community/Behavioral Health Agency · San Antonio, TX
Provider details
- NPI number
- 1124494802
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tracy Clark, Ceo(504) 222-4938
Specialties & taxonomies
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9504 N Ih 35 Ste 311
San Antonio, TX 78233-6617
Phone: (504) 407-0709
Fax: (504) 333-6252
Street-level locationGet directions
Mailing address
9504 N Ih 35 Ste 311
San Antonio, TX 78233-6617
Registry dates
- Enumerated
- 2015-08-17
- Last updated
- 2015-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.