The Healing Impact, Inc
Organization Active NPI Clinical Social Worker · Shalimar, FL
NPI 1154988772 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1154988772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- THE HEALING IMPACT, INC
- Practice address
- 4 9TH Ave Ste F
Shalimar, FL 32579-1742 - Phone
- (850) 420-9317
- Fax
- (850) 505-3078
- NPI assigned
- May 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy Ellis, LMHC
- Title
- Ceo
- Phone
- (850) 261-9032
Practitioners 6
-
Amy Carol Ellis, L.M.H.C.
-
Anna Pearce, LCSW
-
Carly Marie Riccio, LCSW
-
Ariya F McGrory, LCSW
National Provider Directory
Locations
4100 S Ferdon Blvd
Ste B4
Crestview, FL 32536
Phone (850) 420-9317
4300 Bayou Blvd
Ste 30
Pensacola, FL 32503
Phone (850) 420-9317
4 9th Ave
Ste F
Shalimar, FL 32579
Phone (509) 999-9414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
4 9TH Ave Ste F
Shalimar, FL 32579-1742
Mailing address
5170 Annie Ruth St
Milton, FL 32570-8153
Phone (850) 420-9317
Other practice location 1
4300 Bayou Blvd Ste 30
Pensacola, FL 32503-2671
Phone (850) 420-9317
Other practice location 2
4100 S Ferdon Blvd Ste B4
Crestview, FL 32536-5287
Phone (850) 420-9317
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1345573506 | Other | FL | NPI |
| 1154988772 | Other | FL | NPI |
| 1861792467 | Other | NPI |
Other names
- The Healing Impact LLC
Other providers in Shalimar, FL
- Caroline M Stanley
- Carrie Ellen Stapleton
- Jennifer Renee Stejskal
- Laura Mae Stephens
- George Andress Stone IV
- Tammy Marie Theriault
- Crystal Rose Thornton
- Jenna Toner
- Michael Travers
- Kristine Claire Troutman
All providers in Shalimar, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.