| Impact Behavioral Counseling Llc | |
|
1200 N State St Ste 450 Jackson MS 39202-2000 | |
| (205) 208-9312 | |
| Not Available |
| Full Name | Impact Behavioral Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1200 N State St Ste 450, Jackson, Mississippi |
| Authorized Official Name and Position | Andrew Turner (PRESIDENT) |
| Authorized Official Contact | 2052089312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Behavioral Counseling Llc 1000 Urban Center Dr Ste 600 Vestavia AL 35242-2584 Ph: (205) 208-9312 | Impact Behavioral Counseling Llc 1200 N State St Ste 450 Jackson MS 39202-2000 Ph: (205) 208-9312 |
| NPI Number | 1699452953 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699452953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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