MEDICARE: B G COUNSELING & CONSULTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	261QM0850X	Adult Mental Health Clinic/Center
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1790322568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B G COUNSELING & CONSULTING

Provider Business Mailing Address
First Line	:	1941 S 42ND ST STE 107
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68105-2942
Country	:	US
Telephone Number	:	402-212-0027
Fax Number	:

Provider Business Practice Location Address
First Line	:	1941 S 42ND ST STE 107
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68105-2942
Country	:	US
Telephone Number	:	402-212-0027
Fax Number	:	402-300-8169

Authorized Official
Title or Position	:	OWNER
Name	:	MS. BEATRIZ (BEA) GONZALEZ
Credential	:	LIMHP, LICSW
Telephone Number	:	402-212-0027

Provider Enumeration Date	:	11/28/2019
Last Update Date	:	02/22/2020

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Directions to “B G COUNSELING & CONSULTING ” Practice Location

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