| Impact Counseling And Consulting Llc | |
|
6563 State Road 54 New Port Richey FL 34653-6003 | |
| (727) 390-9181 | |
| Not Available |
| Full Name | Impact Counseling And Consulting Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6563 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Myra Fairline Ricketts (LMHC) |
| 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 Po Box 2581 Inverness FL 34451-2581 Ph: (352) 419-4856 | Impact Counseling And Consulting Llc 6563 State Road 54 New Port Richey FL 34653-6003 Ph: (727) 390-9181 |
| NPI Number | 1548042997 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548042997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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