Organization
IMPACT COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R. CAMPBELL SR. (CEO)
(404) 545-0589
Entity
Organization
Contact information
Practice address
7445 FIRESIDE LN, FLOWERY BRANCH, GA 30542-7700
(404) 545-0589
Mailing address
7445 FIRESIDE LN, FLOWERY BRANCH, GA 30542-7700
(404) 545-0589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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