Provider Demographics
NPI:1780383190
Name:GLOBAL IMPACT INTERNATIONAL, INC. D/B/A LICE CLINICS OF AMERICA - ROME
Entity type:Organization
Organization Name:GLOBAL IMPACT INTERNATIONAL, INC. D/B/A LICE CLINICS OF AMERICA - ROME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-766-0003
Mailing Address - Street 1:1400 CRANE ST SW STE 116
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-6329
Mailing Address - Country:US
Mailing Address - Phone:706-528-4033
Mailing Address - Fax:
Practice Address - Street 1:1400 CRANE ST SW STE 116
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-6329
Practice Address - Country:US
Practice Address - Phone:706-528-4033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty