| Impact Community Services Of Georgia Llc | |
|
13300 Morris Rd Unit 50 Alpharetta GA 30004-6132 | |
| (404) 396-8681 | |
| Not Available |
| Full Name | Impact Community Services Of Georgia Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13300 Morris Rd Unit 50, Alpharetta, Georgia |
| Authorized Official Name and Position | Terresha Anthony (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4043968681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Community Services Of Georgia Llc 13300 Morris Rd Unit 50 Alpharetta GA 30004-6132 Ph: (404) 396-8681 | Impact Community Services Of Georgia Llc 13300 Morris Rd Unit 50 Alpharetta GA 30004-6132 Ph: (404) 396-8681 |
| NPI Number | 1518752161 |
|---|---|
| Provider Enumeration Date | 04/14/2025 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518752161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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