Provider Demographics
NPI:1669007324
Name:GOOD TALK COUNSELING SERVICES,LLC
Entity type:Organization
Organization Name:GOOD TALK COUNSELING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LIMHP
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MSE, LIMHP
Authorized Official - Phone:402-649-5930
Mailing Address - Street 1:PO BOX 460932
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-0932
Mailing Address - Country:US
Mailing Address - Phone:402-649-5930
Mailing Address - Fax:
Practice Address - Street 1:4611 S 96TH ST STE 117
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1232
Practice Address - Country:US
Practice Address - Phone:402-649-5930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100264603-00Medicaid