| Impact Counseling Group Incorporated | |
|
1201 S Hope St Los Angeles CA 90015-4686 | |
| (323) 799-5109 | |
| Not Available |
| Full Name | Impact Counseling Group Incorporated |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1201 S Hope St, Los Angeles, California |
| Authorized Official Name and Position | Tiffany Williams (OWNER) |
| Authorized Official Contact | 3237995109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling Group Incorporated 3705 W Pico Blvd # 1730 Los Angeles CA 90019-3451 Ph: (323) 799-5109 | Impact Counseling Group Incorporated 1201 S Hope St Los Angeles CA 90015-4686 Ph: (323) 799-5109 |
| NPI Number | 1508538844 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508538844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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