| Impact Counseling And Consulting Llc | |
|
3404 N Lecanto Hwy Ste D Beverly Hills FL 34465-3569 | |
| (352) 419-4856 | |
| Not Available |
| Full Name | Impact Counseling And Consulting Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3404 N Lecanto Hwy Ste D, Beverly Hills, Florida |
| Authorized Official Name and Position | Myra Fairline Ricketts (OWNER) |
| Authorized Official Contact | 3525872378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling And Consulting Llc 3404 N Lecanto Hwy Ste D Beverly Hills FL 34465-3569 Ph: () - | Impact Counseling And Consulting Llc 3404 N Lecanto Hwy Ste D Beverly Hills FL 34465-3569 Ph: (352) 419-4856 |
| NPI Number | 1033885439 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033885439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Citrus County Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4882 W Phoenix Dr, Beverly Hills, FL 34465 Phone: 352-423-3163 | |
Impact Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3404 N Lecanto Hwy Ste D, Beverly Hills, FL 34465 Phone: 352-587-2378 |