Impact Counseling Services, LLC

NPI #1326212572 in Ashland, Wisconsin

Provider Information

NPI Number: 1326212572
Entity Type: Organization
Organization Name: Impact Counseling Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 18, 2008
Last Updated: Aug 11, 2008

Practice Location

Address: 301 ELLIS AVE
City: Ashland
State: Wisconsin
ZIP Code: 54806-1667
Phone: (715) 682-3523

Authorized Official

Name: RENEE M MILLWOOD, MS
Title: DIRECTOR
Phone: (715) 296-5399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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