Provider Demographics
NPI:1780024976
Name:CINDY MCGRATH COUNSELING
Entity Type:Organization
Organization Name:CINDY MCGRATH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:VAVRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-627-6126
Mailing Address - Street 1:1811 W 2ND ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-5413
Mailing Address - Country:US
Mailing Address - Phone:402-984-3004
Mailing Address - Fax:
Practice Address - Street 1:1811 W 2ND ST
Practice Address - Street 2:SUITE 300
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-5413
Practice Address - Country:US
Practice Address - Phone:402-984-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8102251S00000X
NE3529251S00000X
NE1321251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health