Organization
COMMUNITY IMPACT COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PASLEY (ASSOCIATE DIRECTOR)
(731) 313-3155
Entity
Organization
Contact information
Practice address
118 N LIBERTY ST, JACKSON, TN 38301-6221
(731) 313-3155
Mailing address
118 N LIBERTY ST, JACKSON, TN 38301-6221
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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