Provider Demographics
NPI:1255504718
Name:PRECIOUS CARE COUNSELING, INC.
Entity Type:Organization
Organization Name:PRECIOUS CARE COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-871-5979
Mailing Address - Street 1:2125 WINTHROP RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-4156
Mailing Address - Country:US
Mailing Address - Phone:402-871-5979
Mailing Address - Fax:
Practice Address - Street 1:2125 WINTHROP RD
Practice Address - Street 2:SUITE C
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-4156
Practice Address - Country:US
Practice Address - Phone:402-871-5979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3878101YM0800X
NE960101YP2500X
NE1921101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025605100Medicaid
NE10025491600Medicaid