| Impact Counseling Clinic, Incorporated | |
|
408 N 1st St Ste C Glenwood AR 71943-9252 | |
| (870) 356-7404 | |
| (870) 825-2060 |
| Full Name | Impact Counseling Clinic, Incorporated |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 408 N 1st St Ste C, Glenwood, Arkansas |
| Authorized Official Name and Position | Priscilla Ann Faulkner (CEO) |
| Authorized Official Contact | 8702851413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling Clinic, Incorporated Po Box 416 Dierks AR 71833-0416 Ph: (870) 285-1413 | Impact Counseling Clinic, Incorporated 408 N 1st St Ste C Glenwood AR 71943-9252 Ph: (870) 356-7404 |
| NPI Number | 1801673405 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801673405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Ouachita Behavioral Health And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 371 Highway 70 E Ste A, Glenwood, AR 71943 Phone: 870-782-0179 Fax: 870-782-0293 | |
Stewart Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 N Bumble Bee Rd, Glenwood, AR 71943 Phone: 505-603-9988 |