| Impact Counseling Services, Llc | |
|
413 N. Montgomery Street Hollidaysburg PA 16648 | |
| (814) 695-2200 | |
| (814) 695-2204 |
| Full Name | Impact Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 413 N. Montgomery Street, Hollidaysburg, Pennsylvania |
| Authorized Official Name and Position | Leslie Anne Turner (FACILITY DIRECTOR) |
| Authorized Official Contact | 8144146528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling Services, Llc 103 Railroad Track Road Gallitzin PA 16641 Ph: (814) 695-2200 | Impact Counseling Services, Llc 413 N. Montgomery Street Hollidaysburg PA 16648 Ph: (814) 695-2200 |
| NPI Number | 1578973848 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578973848 | NPI | - | NPPES |
| 102936505 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 077029 (Pennsylvania) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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