| Guardian Counseling Services, Llc | |
|
6606 S 168th St Ste 200 Omaha NE 68135-5420 | |
| (402) 618-2660 | |
| (402) 884-7177 |
| Full Name | Guardian Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6606 S 168th St Ste 200, Omaha, Nebraska |
| Authorized Official Name and Position | Tomeka C Johnson (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4028857672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Counseling Services, Llc 6606 S 168th St Ste 200 Omaha NE 68135-5420 Ph: (402) 618-2660 | Guardian Counseling Services, Llc 6606 S 168th St Ste 200 Omaha NE 68135-5420 Ph: (402) 618-2660 |
| NPI Number | 1164808994 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 11/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164808994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1831 (Nebraska) | Secondary |
| 251S00000X | Community/behavioral Health | 10597 (Nebraska) | Primary |
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