Provider Demographics
NPI:1942524194
Name:PROJECT IMPACT INC.
Entity Type:Organization
Organization Name:PROJECT IMPACT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:LAMONTE
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:409-651-5148
Mailing Address - Street 1:PO BOX 22697
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77720-2697
Mailing Address - Country:US
Mailing Address - Phone:409-651-5148
Mailing Address - Fax:713-485-0372
Practice Address - Street 1:7119 VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2904
Practice Address - Country:US
Practice Address - Phone:409-651-5148
Practice Address - Fax:713-485-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management