| Paradigm Shift Counseling Services Llc | |
|
2001 Pine Lake Rd Ste 200 Lincoln NE 68512-3604 | |
| (402) 261-8313 | |
| Not Available |
| Full Name | Paradigm Shift Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 2001 Pine Lake Rd Ste 200, Lincoln, Nebraska |
| Authorized Official Name and Position | Apryl Benedict (MEMBER) |
| Authorized Official Contact | 3082892916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Shift Counseling Services Llc 2001 Pine Lake Rd Ste 200 Lincoln NE 68512-3604 Ph: (308) 289-2916 | Paradigm Shift Counseling Services Llc 2001 Pine Lake Rd Ste 200 Lincoln NE 68512-3604 Ph: (402) 261-8313 |
| NPI Number | 1689334914 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 6507251915 |
|---|---|
| Medicare Enrollment ID | O20220322002210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689334914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Apryl D Benedict |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598348104 PECOS PAC ID: 8325434350 Enrollment ID: I20220331000543 |
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