Healthcare Provider Details

I. General information

NPI: 1073975249
Provider Name (Legal Business Name): CARLSON COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24590 STORK LN
ARLINGTON NE
68002-5201
US

IV. Provider business mailing address

24590 STORK LN
ARLINGTON NE
68002-5201
US

V. Phone/Fax

Practice location:
  • Phone: 402-721-8805
  • Fax: 402-727-4839
Mailing address:
  • Phone: 402-721-8805
  • Fax: 402-727-4839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number683
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18
License Number StateNE

VIII. Authorized Official

Name: STANLEY E CARLSON
Title or Position: PROVIDER/OWNER
Credential: M.DIV, LIMHP, NCACII
Phone: 402-721-8802