Impact Counseling And Consulting Llc | |
3404 N Lecanto Hwy Ste D Beverly Hills FL 34465-3569 | |
(352) 587-2378 | |
Not Available |
Full Name | Impact Counseling And Consulting Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3404 N Lecanto Hwy Ste D, Beverly Hills, Florida |
Authorized Official Name and Position | Myra Fairline Ricketts (OWNER) |
Authorized Official Contact | 3525872378 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Impact Counseling And Consulting Llc Po Box 2581 Inverness FL 34451-2581 Ph: () - | Impact Counseling And Consulting Llc 3404 N Lecanto Hwy Ste D Beverly Hills FL 34465-3569 Ph: (352) 587-2378 |
NPI Number | 1417443094 |
---|---|
Provider Enumeration Date | 07/06/2018 |
Last Update Date | 03/17/2023 |
Certification Date | 03/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417443094 | NPI | - | NPPES |
1017033-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH16109 (Florida) | Secondary |
251S00000X | Community/behavioral Health | MH16109 (Florida) | Primary |
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Impact Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3404 N Lecanto Hwy Ste D, Beverly Hills, FL 34465 Phone: 352-419-4856 | |
Citrus County Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4882 W Phoenix Dr, Beverly Hills, FL 34465 Phone: 352-423-3163 |