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Impact Counseling Clinic, Incorporated
Adolescent and Children Mental Health Clinic/Center in Dierks, Arkansas
NPI 1205388071

Impact Counseling Clinic, Incorporated is an Adolescent and Children Mental Health Clinic/Center based in Dierks, AR and is specialized in Adolescent and Children Mental Health. Impact Counseling Clinic, Incorporated practices in Dierks, AR. The NPI Number for Impact Counseling Clinic, Incorporated is 1205388071 and holds a License No. (Arkansas).

The current practice location address for Impact Counseling Clinic, Incorporated is 1124 Main Ave, Dierks, AR and can be reached out via phone at 870-285-1413 and via fax at 870-825-2060.

Location: 1124 Main Ave, Dierks, AR, 71833-0575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205388071
Provider Name
Impact Counseling Clinic, Incorporated
Credential
Provider Entity Type
Organization
Address
1124 Main Ave, Dierks, AR, 71833-0575
Phone Number
870-285-1413
Fax Number
870-825-2060
Provider Enumeration Date
10/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1124 Main Ave
City
Dierks
State
Arkansas
Zip
71833-9421
Phone Number
870-285-1413
Fax Number
870-825-2060
person
Provider Business Mailing Address Details
Address
1124 Main Ave
City
Dierks
State
Arkansas
Zip
71833-9421
Phone Number
870-285-1413
Fax Number
870-825-2060
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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