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Organization
IMPACT COUNSELING AND CONSULTING, LLC
Active
Organization
IMPACT COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R. CAMPBELL SR. (CEO)
(404) 545-0589
Entity
Organization
Contact information
Practice address
7445 FIRESIDE LN, FLOWERY BRANCH, GA 30542-7700
(404) 545-0589
Mailing address
7445 FIRESIDE LN, FLOWERY BRANCH, GA 30542-7700
(404) 545-0589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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