Provider Demographics
NPI:1033414925
Name:CHILDREN & FAMILY COUNSELING LLC
Entity Type:Organization
Organization Name:CHILDREN & FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KNOBBE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LIMHP, LMHP
Authorized Official - Phone:402-727-0776
Mailing Address - Street 1:PO BOX 2114
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68026-2114
Mailing Address - Country:US
Mailing Address - Phone:402-727-0776
Mailing Address - Fax:402-727-0779
Practice Address - Street 1:515 N D ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5051
Practice Address - Country:US
Practice Address - Phone:402-727-0776
Practice Address - Fax:402-727-0779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6101YM0800X
NE10821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty