# IMPACT CLINICAL CONSULTING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699304824
- **Authorized official:** COLLEEN CORBIN LISW-CP/S (OWNER)
- **Authorized official phone:** (803) 549-8221

## Contact information

- **Practice address:** 203 W MAIN ST STE B, LEXINGTON, SC 29072-2670
- **Practice address phone:** (803) 549-8221
- **Practice address fax:** (803) 769-5367
- **Mailing address:** 203 W MAIN ST STE B, LEXINGTON, SC 29072-2670
- **Mailing address phone:** (803) 549-8221
- **Mailing address fax:** (803) 769-5367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2020
- **Last updated:** 09/03/2026