Provider Demographics
NPI:1578094512
Name:WILES COUNSELING & ASSESSMENTS, INC.
Entity Type:Organization
Organization Name:WILES COUNSELING & ASSESSMENTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-964-2092
Mailing Address - Street 1:7551 MAIN ST STE 250
Mailing Address - Street 2:
Mailing Address - City:RALSTON
Mailing Address - State:NE
Mailing Address - Zip Code:68127-5911
Mailing Address - Country:US
Mailing Address - Phone:402-964-2092
Mailing Address - Fax:402-964-2093
Practice Address - Street 1:7551 MAIN ST STE 250
Practice Address - Street 2:
Practice Address - City:RALSTON
Practice Address - State:NE
Practice Address - Zip Code:68127-5911
Practice Address - Country:US
Practice Address - Phone:402-964-2092
Practice Address - Fax:402-964-2093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1458251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health