Impact Counseling Clinic, Incorporated

NPI #1801673405 in Glenwood, Arkansas

Provider Information

NPI Number: 1801673405
Entity Type: Organization
Organization Name: Impact Counseling Clinic, Incorporated
Subpart: Yes (part of a larger organization)
Parent Organization: IMPACT COUNSELING CLINIC, INCORPORATED
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 8, 2023
Last Updated: Sep 8, 2023

Practice Location

Address: 408 N 1ST ST STE C
City: Glenwood
State: Arkansas
ZIP Code: 71943-9252
Phone: (870) 356-7404

Authorized Official

Name: PRISCILLA ANN FAULKNER, LPC
Title: CEO
Phone: (870) 285-1413

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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