Impact Counseling Services, LLC

NPI #1346419082 in Hayward, Wisconsin

Provider Information

NPI Number: 1346419082
Entity Type: Organization
Organization Name: Impact Counseling Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 27, 2008
Last Updated: Aug 11, 2008

Practice Location

Address: 15655 COUNTY ROAD B
City: Hayward
State: Wisconsin
ZIP Code: 54843-3251
Phone: (715) 634-0607

Authorized Official

Name: MS. RENEE MARIE MILLWOOD, MS, LCSW
Title: DIRECTOR
Phone: (715) 634-0607

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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