<Unavail>

LBN: Impact Counseling Services, Inc.
<Unavail> is an health care organization with primary practice located at 3613 Williams Dr Ste 302 , Georgetown TX 78628-1369. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Impact Counseling Services, Inc. can be contacted via phone (512) 713-9886, or through Gadison, Candi via phone (512) 713-9886.

Contact Information

Primary practice address
3613 Williams Dr Ste 302 Georgetown TX 78628-1369
Phone: (512) 713-9886
Fax: (737) 277-5546
Website:
Map and Directions
Authorized official contact:
Name: Gadison, Candi Licensed Clinical Social Worker (LCSW)
Phone: (512) 713-9886

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1396312658
LBN Legal business name Impact Counseling Services, Inc.
DBA Doing business as <Unavail>
Authorized official Gadison, Candi Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2021
Last updated Jul 8th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396312658 NPPES
Texas Other NONE N/A

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