Provider Demographics
NPI:1497900658
Name:MULTICULTURAL YOUTH AND FAMILY COUNSELING,LLC
Entity Type:Organization
Organization Name:MULTICULTURAL YOUTH AND FAMILY COUNSELING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LETROY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP,LPC
Authorized Official - Phone:402-890-1077
Mailing Address - Street 1:819 DARREN AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-1269
Mailing Address - Country:US
Mailing Address - Phone:402-890-1077
Mailing Address - Fax:402-474-2583
Practice Address - Street 1:600 N COTNER BLVD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2343
Practice Address - Country:US
Practice Address - Phone:402-890-1077
Practice Address - Fax:402-474-2583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8105101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty