Impact Carolina Services is a Psychiatry Clinic in Gastonia, North Carolina. It is located at 1552 Union Rd, Suite C, Gastonia, NC and its contact number is 704-852-9210. The authorized person for Impact Carolina Services is Dr. Joseph Adedokun
who is Ceo of the clinic and his/her contact number is 704-732-2006. The primary license number for Impact Carolina Services is NC 93-00472 (Psychiatry) in North Carolina. Impact Carolina Services Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Impact Carolina Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Impact Carolina Services
Specialization:
Psychiatry
Clinic Address:
1552 Union Rd, Suite C, Gastonia, North Carolina, 28054-5523
Phone:
704-852-9210
Fax:
704-852-9211
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Joseph Adedokun
Position:
Ceo
Contact Number:
704-732-2006
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Impact Carolina Services clinic are as mentioned below.
NPI Number:
1629311063
NPI Enumeration Date:
04 Apr, 2013
NPI Last Update On:
04 Apr, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Impact Carolina Services are as mentioned below.
Specialization
License Number
State
Status
Psychiatry
NC 93-00472
North Carolina
Primary
Addiction (Substance Use Disorder)
795
North Carolina
Secondary
Clinical
C002728
North Carolina
Secondary
Nurse Practitioner
5004878
North Carolina
Secondary
Adult Health
5004910
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5004910
Medicaid
North Carolina
6003129
Medicaid
North Carolina
891036Y
Medicaid
North Carolina
5004878
Medicaid
North Carolina
6111767
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Impact Carolina Services 1552 Union Rd, Suite C Gastonia, North Carolina
Zip:
28054-5523
Phone Number:
704-852-9210
Fax Number:
704-852-9211
Patients can reach Impact Carolina Services at 1552 Union Rd, Suite C, Gastonia, North Carolina or can call to book an appointment on 704-852-9210. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.