| Impact Clinical Consulting, Llc | |
|
458 Old Cherokee Rd Ste 201 Lexington SC 29072-6971 | |
| (803) 549-8221 | |
| Not Available |
| Full Name | Impact Clinical Consulting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 458 Old Cherokee Rd Ste 201, Lexington, South Carolina |
| Authorized Official Name and Position | Colleen Corbin (LISW-CP) |
| Authorized Official Contact | 8035498221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Clinical Consulting, Llc Po Box 1833 Lexington SC 29071-1833 Ph: () - | Impact Clinical Consulting, Llc 458 Old Cherokee Rd Ste 201 Lexington SC 29072-6971 Ph: (803) 549-8221 |
| NPI Number | 1699304824 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699304824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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