Organization
GREATER IMPACT COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IYANNA ROBERTSON (FRONT OFFICE/ BILLING)
(757) 477-1926
Entity
Organization
Contact information
Practice address
11815 FOUNTAIN WAY STE 300, NEWPORT NEWS, VA 23606-4448
(757) 504-3110
Mailing address
11815 FOUNTAIN WAY STE 300, NEWPORT NEWS, VA 23606-4448
(757) 504-3110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
03/25/2021
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