Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Impact Mental Health Therapy LLC

Organization Mental Health Counselor · NPI 1720713837

Impact Mental Health Therapy LLC provides Mental Health Counselor services in Green Bay, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2300 Riverside Dr
Green Bay, WI 54301-1900
Phone: (507) 696-4034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1720713837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hallie Barbara — President · (507) 696-4034
NPI enumeratedJuly 21, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address2250 Meadow Ridge Dr, De Pere, WI 54115-7200

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