Provider Demographics
NPI:1386661189
Name:ASSOCIATED COUNSELING PROFESSIONALS PC
Entity Type:Organization
Organization Name:ASSOCIATED COUNSELING PROFESSIONALS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:EISMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-334-1122
Mailing Address - Street 1:2255 S 132ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2573
Mailing Address - Country:US
Mailing Address - Phone:402-334-1122
Mailing Address - Fax:402-334-8171
Practice Address - Street 1:2255 S 132ND ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2573
Practice Address - Country:US
Practice Address - Phone:402-334-1122
Practice Address - Fax:402-334-8171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty