Provider Demographics
NPI:1891844791
Name:VIP COUNSELING
Entity Type:Organization
Organization Name:VIP COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-476-5202
Mailing Address - Street 1:1101 ARAPAHOE ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-4417
Mailing Address - Country:US
Mailing Address - Phone:402-476-5202
Mailing Address - Fax:402-476-5202
Practice Address - Street 1:1101 ARAPAHOE ST
Practice Address - Street 2:SUITE 6
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-4417
Practice Address - Country:US
Practice Address - Phone:402-476-5202
Practice Address - Fax:402-476-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
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
NE100253669-00Medicaid