| Advance Counseling Services, Llc | |
|
220 W 7th St Suite 1 Wayne NE 68787-1302 | |
| (402) 833-5246 | |
| (402) 833-5283 |
| Full Name | Advance Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 220 W 7th St, Wayne, Nebraska |
| Authorized Official Name and Position | Janice Lynn Chinn (OWNER, MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4028335246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Counseling Services, Llc 220 W 7th St Suite 1 Wayne NE 68787-1302 Ph: (402) 833-5246 | Advance Counseling Services, Llc 220 W 7th St Suite 1 Wayne NE 68787-1302 Ph: (402) 833-5246 |
| NPI Number | 1073967014 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 04/15/2016 |
| Medicare PECOS PAC ID | 7113377789 |
|---|---|
| Medicare Enrollment ID | O20231221003363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073967014 | NPI | - | NPPES |
| 10025615600 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1548 (Nebraska) | Primary |
| Provider Name | Janice L Chinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942397674 PECOS PAC ID: 8022468693 Enrollment ID: I20240112000319 |
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