National Provider Identifier
Major Impact Supports Inc
Major Impact Supports Inc is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Fort Myers, FL and a listed phone number of (239) 226-4357.
Source: public NPPES record, last updated July 01, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1114650728
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- July 01, 2022
- Last Updated
- July 01, 2022
Practice Location
- 1960 Velasco St Ste J2
- Fort Myers, FL 33916-2761
Phone: (239) 226-4357
Authorized Official
- Name
- Mr. Clayton Lambert Major SR.
- Title
- President
- Credentials
- MS
- Phone
- (239) 226-4357
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Adolescent and Children Mental Health Clinic/Center (261QM0855X)
- Adult Mental Health Clinic/Center (261QM0850X)
- Case Management Agency (251B00000X)
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Organization Overview
MAJOR IMPACT SUPPORTS INC. is a Fort Myers, Florida organization operating publicly as Major Impact Supports. The Florida Department of Children and Families lists Major Impact Supports as a local Batterers’ Intervention Program provider for Circuit 20, covering Charlotte, Collier, Glades, Hendry, and Lee counties, with program locations in Fort Myers and LaBelle. DCF also lists a Major Impact Supports entry for Hillsborough County, indicating its public program listings extend beyond Southwest Florida.
Full Record
- NPI
- 1114650728
- Entity Type
- Organization
- Organization Name
- Major Impact Supports Inc
- Mailing Street Address
- 1960 Velasco St Ste J2
- Mailing City
- Fort Myers
- Mailing State
- FL
- Mailing ZIP Code
- 33916-2761
- Mailing Country
- US
- Mailing Phone
- (239) 226-4357
- Mailing Fax
- (239) 226-4352
- Practice Street Address
- 1960 Velasco St Ste J2
- Practice City
- Fort Myers
- Practice State
- FL
- Practice ZIP Code
- 33916-2761
- Practice Country
- US
- Practice Phone
- (239) 226-4357
- Practice Fax
- (239) 226-4352
- Enumeration Date
- July 01, 2022
- Last Updated
- July 01, 2022
- Authorized Official Last Name
- Major
- Authorized Official First Name
- Clayton
- Authorized Official Middle Name
- Lambert
- Authorized Official Title
- President
- Authorized Official Phone
- (239) 226-4357
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Name Suffix Text
- SR.
- Authorized Official Credential Text
- MS
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- July 01, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Adolescent and Children Mental Health Clinic/Center (261QM0855X), Adult Mental Health Clinic/Center (261QM0850X), Case Management Agency (251B00000X)