Organization
IMPACT COMMUNITY SERVICES OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRESHA ANTHONY LCSW (PROGRAM DIRECTOR)
(404) 396-8681
Entity
Organization
Contact information
Practice address
13300 MORRIS RD UNIT 50, ALPHARETTA, GA 30004-6132
(404) 396-8681
Mailing address
13300 MORRIS RD UNIT 50, ALPHARETTA, GA 30004-6132
(404) 396-8681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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