| Destination Hope Counseling, Llc | |
|
511 N D St Fremont NE 68025-5051 | |
| (402) 651-0684 | |
| (402) 727-0779 |
| Full Name | Destination Hope Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 511 N D St, Fremont, Nebraska |
| Authorized Official Name and Position | Janette Lynn Bentley (OWNER THERAPIST) |
| Authorized Official Contact | 4026510684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destination Hope Counseling, Llc 511 N D St Fremont NE 68025-5051 Ph: (402) 651-0684 | Destination Hope Counseling, Llc 511 N D St Fremont NE 68025-5051 Ph: (402) 651-0684 |
| NPI Number | 1386056661 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 05/21/2014 |
| Medicare PECOS PAC ID | 5294178539 |
|---|---|
| Medicare Enrollment ID | O20240203000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386056661 | NPI | - | NPPES |
| 1093039307 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3585 (Nebraska) | Primary |
| 251S00000X | Community/behavioral Health | 1000 (Nebraska) | Secondary |
| Provider Name | Janette Lynn Bentley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093039307 PECOS PAC ID: 6103269444 Enrollment ID: I20240203000270 |
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