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.

NPI 1114650728Fort Myers, FLAddiction (Substance Use Disorder) Counselor

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)

Endpoints

  • cmajor@majorimpactsupportsinc.com

    Connect Url | Other | Csv | Fort Myers, FL 33916

    Cmajor@Majorimpactsupportsinc.Com

  • cmajor@majorimpactsupportsinc.com

    Direct Messaging Address | Direct | Other | Fort Myers, FL 33916

    Cmajor@Majorimpactsupportsinc.Com

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Full Record
NPI
1114650728
Entity Type
Organization
EIN
<UNAVAIL>
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 4
193200000X Multi-Specialty Group
Certification Date
July 01, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
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)