| Colegrove Counseling Center, Llc | |
|
1354 27th Ave Ste 109 Columbus NE 68601-4961 | |
| (402) 562-6767 | |
| Not Available |
| Full Name | Colegrove Counseling Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1354 27th Ave Ste 109, Columbus, Nebraska |
| Authorized Official Name and Position | Jill Colegrove (OWNER) |
| Authorized Official Contact | 4025626767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colegrove Counseling Center, Llc 1354 27th Ave Ste 109 Columbus NE 68601-4961 Ph: () - | Colegrove Counseling Center, Llc 1354 27th Ave Ste 109 Columbus NE 68601-4961 Ph: (402) 562-6767 |
| NPI Number | 1184824260 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184824260 | NPI | - | NPPES |
| 10025520800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2761 (Nebraska) | Primary |
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