Provider Demographics
NPI:1720540859
Name:PROSIGHTFUL COUNSELING AND CONSULTING, INC
Entity Type:Organization
Organization Name:PROSIGHTFUL COUNSELING AND CONSULTING, INC
Other - Org Name:PROSIGHTFUL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:IGBOANUSI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-953-4240
Mailing Address - Street 1:6311 AMES AVE # 1048
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2027
Mailing Address - Country:US
Mailing Address - Phone:402-953-4240
Mailing Address - Fax:
Practice Address - Street 1:6311 AMES AVE # 1048
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2027
Practice Address - Country:US
Practice Address - Phone:402-953-4240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-06
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health