Provider Demographics
NPI:1942991666
Name:ESSENTIAL LIFE TOOLS LLC
Entity Type:Organization
Organization Name:ESSENTIAL LIFE TOOLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:
Authorized Official - Last Name:CZARNICK
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:402-366-9362
Mailing Address - Street 1:39478 S 520 ST
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:NE
Mailing Address - Zip Code:68640-5508
Mailing Address - Country:US
Mailing Address - Phone:402-366-9362
Mailing Address - Fax:
Practice Address - Street 1:2620 23RD ST STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-3202
Practice Address - Country:US
Practice Address - Phone:402-366-9362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty