Provider Demographics
NPI:1851035968
Name:DEREK SCHWEITZER COUNSELING, LLC
Entity Type:Organization
Organization Name:DEREK SCHWEITZER COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LIMHP
Authorized Official - Phone:308-251-2222
Mailing Address - Street 1:5308 PARKLANE DR STE 5
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8629
Mailing Address - Country:US
Mailing Address - Phone:308-251-2222
Mailing Address - Fax:308-251-2232
Practice Address - Street 1:5308 PARKLANE DR STE 5
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8629
Practice Address - Country:US
Practice Address - Phone:308-251-2222
Practice Address - Fax:308-251-2232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty