Organization · Type 2 NPI
Impact Counseling Clinic, Incorporated
Adolescent and Children Mental Health Clinic/Center · Dierks, AR
Practice location
1124 Main Ave
Dierks, AR 71833-9421
Fax (870) 825-2060
Mailing address
PO Box 575
Dierks, AR 71833-0575
Other practice locations
- 1123 Main Avenue, Dierks, AR 71833 · (870) 285-1413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
Adolescent and Children Mental Health Clinic/Center: 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.
10 other providers at this address
- Lansdell Family Clinic PLLCRural Health Clinic/Center Dierks, AR NPI 1962015859
- Breanna Nicole MountsCase Manager/Care Coordinator Dierks, AR NPI 1366171761
- Hannah Nicole EllisCase Manager/Care Coordinator Dierks, AR NPI 1619607447
- Justin BeanCase Manager/Care Coordinator Dierks, AR NPI 1336848860
- Katlyn StrawnCase Manager/Care Coordinator Dierks, AR NPI 1518735513
- Kelsi Dawn BrownCase Manager/Care Coordinator Dierks, AR NPI 1063142891
- Priscilla Ann Faulkner, LPCMental Health Counselor Dierks, AR NPI 1457594848
- Sonya Steward, LACMental Health Counselor Dierks, AR NPI 1730786963
- Teresa RamirezCase Manager/Care Coordinator Dierks, AR NPI 1548967698
- Veronica Ozura, LACMental Health Counselor Dierks, AR NPI 1013607217
About NPI 1205388071
Impact Counseling Clinic, Incorporated's National Provider Identifier is 1205388071, issued on Oct 27, 2016. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Dierks, AR. The record was last updated on Aug 20, 2021.