IMPACT COUNSELING SERVICES, INC. - NPI 1396312658

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Impact Counseling Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT COUNSELING SERVICES, INC. (NPI 1396312658) is a healthcare organization registered as a mental health in Georgetown, Texas and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Georgetown and lists Candi Gadison, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396312658

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameIMPACT COUNSELING SERVICES, INC.

Location Address3613 WILLIAMS DR STE 302Georgetown, TX 78628-1369

Mailing Address3613 Williams Dr Ste 302Georgetown, TX 78628-1369 · (512) 713-9886 · Fax (737) 277-5546

Phone(512) 713-9886

Fax(737) 277-5546

Organization SubpartNo

Authorized OfficialCandi GadisonExecutive Director · (512) 713-9886

Enumeration DateJune 7, 2021

Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration

NPPES CertifiedJuly 8, 2022

✔ NPI 1396312658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3613 WILLIAMS DR STE 302, Georgetown, TX 78628

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Other Names 1

Doing Business AsImpact Counseling Services, Inc.

Secondary Practice Location 1

Location 1805 W University AveGeorgetown, TX 78626-6507 · Phone (512) 713-9886 · Fax (737) 277-5546

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP