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Impact Life Solutions, LLC

Professional Counselor in Detroit, MI · enumerated 2023 · authorized official Kelley Mays, Owner / Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417739624

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Life Solutions, LLC
Practice address 4204 Buckingham Ave, Detroit, MI, 48224
Enumeration date Oct 23, 2023
Last updated in NPPES Oct 24, 2023

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP1600X Pastoral Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Primary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary

Authorized official

Name Kelley Mays
Title Owner / Therapist

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.

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Frequently asked questions

What is the NPI number for Impact Life Solutions, LLC?
The NPI for Impact Life Solutions, LLC is 1417739624, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Impact Life Solutions, LLC?
NPPES lists Kelley Mays (Owner / Therapist) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-24.