Provider Demographics
NPI:1225818644
Name:ESSOBIOU COUNSELING & CONSULTING LLC
Entity Type:Organization
Organization Name:ESSOBIOU COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BALI
Authorized Official - Middle Name:
Authorized Official - Last Name:MELESSIKE ABENA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHP CPC
Authorized Official - Phone:402-706-1274
Mailing Address - Street 1:2216 PARK CREST DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-4449
Mailing Address - Country:US
Mailing Address - Phone:402-706-1274
Mailing Address - Fax:
Practice Address - Street 1:13513 COTTNER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1629
Practice Address - Country:US
Practice Address - Phone:402-706-1274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty