| Impact Coaching, Consulting, And Counseling Center Llc | |
|
4508 S Laburnum Ave Ste 100 Richmond VA 23231-2476 | |
| (804) 615-8769 | |
| Not Available |
| Full Name | Impact Coaching, Consulting, And Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4508 S Laburnum Ave Ste 100, Richmond, Virginia |
| Authorized Official Name and Position | Diathe Garnes (OWNER) |
| Authorized Official Contact | 8046158769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Coaching, Consulting, And Counseling Center Llc 6405 Crested Eagle Ln Richmond VA 23231-5790 Ph: () - | Impact Coaching, Consulting, And Counseling Center Llc 4508 S Laburnum Ave Ste 100 Richmond VA 23231-2476 Ph: (804) 615-8769 |
| NPI Number | 1700550621 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700550621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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