| Counseling Affiliates Of Nebraska Llc | |
|
1550 S 70th St Suite 101 Lincoln NE 68506-1576 | |
| (402) 488-0077 | |
| (402) 488-0017 |
| Full Name | Counseling Affiliates Of Nebraska Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1550 S 70th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Mary Lou Paine (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4024884489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Affiliates Of Nebraska Llc 1550 S 70th St Suite 101 Lincoln NE 68506-1576 Ph: (402) 488-0077 | Counseling Affiliates Of Nebraska Llc 1550 S 70th St Suite 101 Lincoln NE 68506-1576 Ph: (402) 488-0077 |
| NPI Number | 1992881270 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 10/27/2011 |
| Medicare PECOS PAC ID | 1850391947 |
|---|---|
| Medicare Enrollment ID | O20070115000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992881270 | NPI | - | NPPES |
| 100254513000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 559 (Nebraska) | Primary |
| Provider Name | Mary L Paine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043224660 PECOS PAC ID: 6204836398 Enrollment ID: I20070115000329 |
| Provider Name | Nicholas G Giles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568615169 PECOS PAC ID: 6507996139 Enrollment ID: I20100609000115 |
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