| Pearl Street Counseling, Llc | |
|
421 N Pearl Street Wayne NE 68787 | |
| (402) 286-4891 | |
| Not Available |
| Full Name | Pearl Street Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 421 N Pearl Street, Wayne, Nebraska |
| Authorized Official Name and Position | Lin M Brummels (AUTHORIZED AGENT) |
| Authorized Official Contact | 4022864891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Street Counseling, Llc 85365 567th Avenue Winside NE 68790 Ph: (402) 286-4891 | Pearl Street Counseling, Llc 421 N Pearl Street Wayne NE 68787 Ph: (402) 286-4891 |
| NPI Number | 1396209623 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396209623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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