| Prairie Counseling | |
|
207 N Pine St Ste. 106 Grand Island NE 68801-5900 | |
| (308) 382-8604 | |
| (308) 382-8604 |
| Full Name | Prairie Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 207 N Pine St, Grand Island, Nebraska |
| Authorized Official Name and Position | Carole Lynn Denton (LICENSED INDEPENDENT MENTAL HEALTH) |
| Authorized Official Contact | 3083790806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Counseling 1513 Stagecoach Rd Grand Island NE 68801-7376 Ph: (308) 379-0806 | Prairie Counseling 207 N Pine St Ste. 106 Grand Island NE 68801-5900 Ph: (308) 382-8604 |
| NPI Number | 1609931468 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609931468 | NPI | - | NPPES |
| 100258569-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 102 (Nebraska) | Primary |
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