Organization
IMPACT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TURNMEIKA SMITH (CEO)
(404) 662-0504
Entity
Organization
Contact information
Practice address
627 NORIC CV, UNION CITY, GA 30291-3456
(404) 662-0504
Mailing address
627 NORIC CV, UNION CITY, GA 30291-3456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
10/03/2023
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