Provider Demographics
NPI:1891906277
Name:REWERTS, VERLYN GEORGE (LMHP)
Entity Type:Individual
Prefix:MR
First Name:VERLYN
Middle Name:GEORGE
Last Name:REWERTS
Suffix:
Gender:M
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 X RD
Mailing Address - Street 2:
Mailing Address - City:HILDRETH
Mailing Address - State:NE
Mailing Address - Zip Code:68947-5120
Mailing Address - Country:US
Mailing Address - Phone:308-440-5158
Mailing Address - Fax:308-938-5498
Practice Address - Street 1:676 X RD
Practice Address - Street 2:
Practice Address - City:HILDRETH
Practice Address - State:NE
Practice Address - Zip Code:68947-5120
Practice Address - Country:US
Practice Address - Phone:308-440-5158
Practice Address - Fax:308-938-5498
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3063101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health