Organization
IMPACT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L R DOFAT-AVENT LCSW-C (OWNER)
(301) 343-0463
Entity
Organization
Contact information
Practice address
4640 FORBES BLVD STE 120W, LANHAM, MD 20706-6320
(301) 343-0463
Mailing address
10705 VISTA LINDA DR, BOWIE, MD 20721-4048
(301) 343-0463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
02/12/2020
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