Provider Demographics
NPI:1790850568
Name:COUNSELING & ENRICHMENT CENTER, INC
Entity Type:Organization
Organization Name:COUNSELING & ENRICHMENT CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DICK
Authorized Official - Middle Name:R
Authorized Official - Last Name:HASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-336-4841
Mailing Address - Street 1:118 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-1565
Mailing Address - Country:US
Mailing Address - Phone:402-336-4841
Mailing Address - Fax:402-336-4640
Practice Address - Street 1:118 N 5TH ST
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-1565
Practice Address - Country:US
Practice Address - Phone:402-336-4841
Practice Address - Fax:402-336-4640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025001800Medicaid
NE10025001700Medicaid