Provider Demographics
NPI:1336302744
Name:COUNSELING PROFESSIONALS, P.C.
Entity Type:Organization
Organization Name:COUNSELING PROFESSIONALS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH PROFESSIONAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:308-324-3785
Mailing Address - Street 1:P.O. BOX 918
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850
Mailing Address - Country:US
Mailing Address - Phone:308-324-3785
Mailing Address - Fax:308-324-5800
Practice Address - Street 1:513 N GRANT ST STE D
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-1946
Practice Address - Country:US
Practice Address - Phone:308-324-3785
Practice Address - Fax:308-324-5800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098026Medicare PIN