Provider Demographics
NPI:1801522461
Name:ACCOMPLISHED RECOVERY AND COUNSELING LLC
Entity type:Organization
Organization Name:ACCOMPLISHED RECOVERY AND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICKEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SKELTON
Authorized Official - Suffix:
Authorized Official - Credentials:PLADC
Authorized Official - Phone:402-609-0278
Mailing Address - Street 1:2823 N 81ST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-6411
Mailing Address - Country:US
Mailing Address - Phone:402-609-0278
Mailing Address - Fax:
Practice Address - Street 1:2823 N 81ST ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-6411
Practice Address - Country:US
Practice Address - Phone:402-609-0278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty