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Organization
IMPACT COUNSELING CLINIC, INCORPORATED
Active
Organization
IMPACT COUNSELING CLINIC, INCORPORATED
Active
Parent organization
IMPACT COUNSELING CLINIC, INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPACT COUNSELING CLINIC, INCORPORATED
Authorized official
PRISCILLA ANN FAULKNER LPC (CEO)
(870) 285-1413
Entity
Organization
Contact information
Practice address
408 N 1ST ST STE C, GLENWOOD, AR 71943-9252
(870) 356-7404
(870) 825-2060
Mailing address
PO BOX 416, DIERKS, AR 71833-0416
(870) 285-1413
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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