Provider Demographics
NPI:1982591145
Name:HIMPACT PLLC
Entity type:Organization
Organization Name:HIMPACT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAMILI
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE-REESCANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:832-297-1945
Mailing Address - Street 1:15814 ABERDEEN TRAILS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3750
Mailing Address - Country:US
Mailing Address - Phone:832-297-1945
Mailing Address - Fax:
Practice Address - Street 1:15814 ABERDEEN TRAILS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3750
Practice Address - Country:US
Practice Address - Phone:832-297-1945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty