Re-play Counseling, Llc | |
214 N 7th St Ste 11 Norfolk NE 68701-4086 | |
(402) 851-3551 | |
Not Available |
Full Name | Re-play Counseling, Llc |
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Speciality | Counselor |
Location | 214 N 7th St Ste 11, Norfolk, Nebraska |
Authorized Official Name and Position | Anna Malone (OWNER) |
Authorized Official Contact | 4028513551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Re-play Counseling, Llc 214 N 7th St Ste 11 Norfolk NE 68701-4086 Ph: (402) 851-3551 | Re-play Counseling, Llc 214 N 7th St Ste 11 Norfolk NE 68701-4086 Ph: (402) 851-3551 |
NPI Number | 1942820022 |
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Provider Enumeration Date | 04/20/2020 |
Last Update Date | 07/30/2021 |
Certification Date | 07/30/2021 |
Medicare PECOS PAC ID | 4082010277 |
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Medicare Enrollment ID | O20210914002172 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942820022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Provider Name | Rachel M Mann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124686936 PECOS PAC ID: 7719213644 Enrollment ID: I20190730001625 |
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