Impact | |
220 Mcgee Rd Anderson SC 29625-2104 | |
(864) 260-5632 | |
(864) 260-5664 |
Full Name | Impact |
---|---|
Speciality | Counselor |
Location | 220 Mcgee Rd, Anderson, South Carolina |
Authorized Official Name and Position | Stacie Patrice Thompson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8642605632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Impact Po Box 2623 Anderson SC 29622-2623 Ph: (864) 260-5632 | Impact 220 Mcgee Rd Anderson SC 29625-2104 Ph: (864) 260-5632 |
NPI Number | 1063515294 |
---|---|
Provider Enumeration Date | 09/06/2006 |
Last Update Date | 06/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063515294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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