Impact Wellness Center LLC
NPI 1205509205 · Mental Health Counselor · North Chesterfield, VA
Impact Wellness Center LLC is a Mental Health Counselor organization in North Chesterfield, VA (NPI 1205509205).
Provider details
- NPI number
- 1205509205
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Phillip Stafford, Ceo(702) 754-9063
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-07-27
- Last updated
- 2021-07-27
- Certified
- 2021-07-27
Frequently asked questions
- What is Impact Wellness Center LLC's NPI number?
- Impact Wellness Center LLC's National Provider Identifier (NPI) is 1205509205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Wellness Center LLC?
- Impact Wellness Center LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Impact Wellness Center LLC located?
- Impact Wellness Center LLC's practice location on file with NPPES is 2700 Galena Ave, North Chesterfield, VA 23237-4638.
- What is Impact Wellness Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Wellness Center LLC is (702) 754-9136.
- Who is the authorized official for Impact Wellness Center LLC?
- The authorized official listed on Impact Wellness Center LLC's NPPES record is Phillip Stafford, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Wellness Center LLC's NPI active?
- Yes — Impact Wellness Center LLC's NPI (1205509205) is active in the NPPES registry as of the last update on 2021-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.