| Grit Counseling Llc | |
|
3701 Union Dr Ste 100 Lincoln NE 68516-6629 | |
| (402) 875-9270 | |
| (402) 875-9272 |
| Full Name | Grit Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3701 Union Dr Ste 100, Lincoln, Nebraska |
| Authorized Official Name and Position | Jolee Jensen (OWNER) |
| Authorized Official Contact | 4028759270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grit Counseling Llc 3701 Union Dr Ste 100 Lincoln NE 68516-6629 Ph: (402) 875-9270 | Grit Counseling Llc 3701 Union Dr Ste 100 Lincoln NE 68516-6629 Ph: (402) 875-9270 |
| NPI Number | 1386279347 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Medicare PECOS PAC ID | 4587003165 |
|---|---|
| Medicare Enrollment ID | O20240416000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386279347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jolee Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891975926 PECOS PAC ID: 5496194078 Enrollment ID: I20240416000495 |
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