Impact Counseling Center LLC

NPI #1730583402 in Noble, Oklahoma

Provider Information

NPI Number: 1730583402
Entity Type: Organization
Organization Name: Impact Counseling Center LLC
Primary Specialty: Counselor
Enumeration Date: Oct 9, 2014
Last Updated: Oct 9, 2014

Practice Location

Address: 115 S MAIN ST
City: Noble
State: Oklahoma
ZIP Code: 73068-9596
Phone: (405) 872-8461

Authorized Official

Name: MRS. SHALON MARGARET STOKES, LMFT
Title: CHIEF EXECUTIVE DIRECTOR
Phone: (405) 306-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Marriage & Family Therapist	106H00000X
Counselor	101Y00000X	Primary

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