Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Physician Group, Psychiatry LLC

Organization Psychiatry Physician · NPI 1457011207

Impact Physician Group, Psychiatry LLC provides Psychiatry Physician services in Lufkin, Texas. Registered with an NPI since 2021.

In the registry since
2021
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

302 Gobblers Knob Rd
Lufkin, TX 75904-5419
Phone: (678) 967-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1457011207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 967-5599
NPI enumeratedDecember 21, 2021
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546

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