Organization
IMPACT COUNSELING SERVICES, LLC
Active
Organization
IMPACT COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ANNE TURNER LCSW (FACILITY DIRECTOR)
(814) 414-6528
Entity
Organization
Contact information
Practice address
413 N. MONTGOMERY STREET, HOLLIDAYSBURG, PA 16648
(814) 695-2200
(814) 695-2204
Mailing address
103 RAILROAD TRACK ROAD, GALLITZIN, PA 16641
(814) 695-2200
(814) 695-2204
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
077029
PA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102936505
—
PA
Enumeration date
05/07/2014
Last updated
10/10/2018
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