Impact Counseling Clinic, Incorporated
Impact Counseling Clinic, Incorporated is a Mental Health Counselor in Dierks, Arkansas. Works from 2 locations. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
1124 Main AveDierks, AR 71833-9421
Phone: (870) 285-1413
Fax: (870) 825-2060
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1123 Main Avenue, Dierks, AR 71833 — (870) 285-1413
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
Record details
| NPI number | 1205388071 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Priscilla Faulkner — Ceo · (870) 285-1413 |
| NPI enumerated | October 27, 2016 |
| Last updated in NPPES | August 20, 2021 |
| Certification date | August 20, 2021 |
| Mailing address | Po Box 575, Dierks, AR 71833-0575 |
Other providers in Dierks
-
Priscilla Ann Faulkner, LPC
1124 Main Ave, Dierks, AR 71833-9421 · (187) 028-5141
-
Veronica Ozura, LAC
1124 Main Ave, Dierks, AR 71833-9421 · (870) 584-9568