Provider Demographics
NPI:1346640307
Name:NP IMPACT GROUP LLC
Entity Type:Organization
Organization Name:NP IMPACT GROUP LLC
Other - Org Name:A BETTER YOU LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:VANESSA
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:860-554-0484
Mailing Address - Street 1:2037 GRAND BROOK CIR
Mailing Address - Street 2:1021A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-6366
Mailing Address - Country:US
Mailing Address - Phone:860-554-0484
Mailing Address - Fax:
Practice Address - Street 1:2037 GRAND BROOK CIR
Practice Address - Street 2:1021A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-6366
Practice Address - Country:US
Practice Address - Phone:860-554-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health