Impact Behavioral Services LLC
Impact Behavioral Services LLC is a healthcare organization registered as Community/Behavioral Health Agency in Fort Wayne, IN, holding Type 2 (organization) NPI 1265162846 since 2022. The authorized official on file is Shawn Wallace, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265162846 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Impact Behavioral Services LLC |
| Practice address | 4606 E STATE BLVD, Fort Wayne, IN, 46815 |
| Phone | 2607405139 |
| Enumeration date | 2022-06-15 |
| Last updated in NPPES | 2022-06-15 |
Authorized official
| Name | Shawn Wallace |
|---|---|
| Title | Owner |
| Phone | 2607405139 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Impact Behavioral Services LLC NPI: 1265162846 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 4606 E STATE BLVD, Fort Wayne, IN, 46815
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215959325 | David G. Slyby D.D.S. P.C. | Organization | Dentist | Fort Wayne, IN |
| 1134466279 | David Slyby | Individual | Dentist | Fort Wayne, IN |
Verify this record
Cross-check NPI 1265162846 against the authoritative CMS record: view Impact Behavioral Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Impact Behavioral Services LLC?
Who is the authorized official for Impact Behavioral Services LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-15.