Organization
IMPACT COUNSELING SERVICES, INC.
Active
Other names
Impact Counseling Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CANDI GADISON LCSW (EXECUTIVE DIRECTOR)
(512) 713-9886
Entity
Organization
Contact information
Practice address
3613 WILLIAMS DR STE 302, GEORGETOWN, TX 78628-1369
(512) 713-9886
(737) 277-5546
Mailing address
3613 WILLIAMS DR STE 302, GEORGETOWN, TX 78628-1369
(512) 713-9886
(737) 277-5546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
TX
Enumeration date
06/07/2021
Last updated
07/08/2022
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