Provider Demographics
NPI:1326505207
Name:LOOKING FORWARD COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:LOOKING FORWARD COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTI
Authorized Official - Middle Name:
Authorized Official - Last Name:EGGERT
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LPC,CPC
Authorized Official - Phone:402-957-1709
Mailing Address - Street 1:14947 BAUMAN AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4599
Mailing Address - Country:US
Mailing Address - Phone:402-957-1709
Mailing Address - Fax:402-807-7270
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:402-957-1709
Practice Address - Fax:402-807-7270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026585800Medicaid