Foundations Counseling | |
302 E 4th St Stromsburg NE 68666-4417 | |
(402) 366-3411 | |
(402) 764-4033 |
Full Name | Foundations Counseling |
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Speciality | Community/Behavioral Health |
Location | 302 E 4th St, Stromsburg, Nebraska |
Authorized Official Name and Position | Tanya Michelle Randolph-elgin (PSYCHOLOGIST) |
Authorized Official Contact | 4023663411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Foundations Counseling 811 Main St Stromsburg NE 68666-3015 Ph: (402) 366-3411 | Foundations Counseling 302 E 4th St Stromsburg NE 68666-4417 Ph: (402) 366-3411 |
NPI Number | 1053541698 |
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Provider Enumeration Date | 07/16/2009 |
Last Update Date | 05/01/2015 |
Medicare PECOS PAC ID | 6507902368 |
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Medicare Enrollment ID | O20091008000021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053541698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Tanya M Randolph Elgin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306930425 PECOS PAC ID: 7517003494 Enrollment ID: I20091007000030 |
Refuge Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E 7th St, Stromsburg, NE 68666 Phone: 402-745-0116 |