Healthcare Provider Details
I. General information
NPI: 1396780896
Provider Name (Legal Business Name): RIGGINS & ASSOCIATES COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
230 EAST 22ND STREET SUITE 3
FREMONT NE
68025
US
IV. Provider business mailing address
230 EAST 22ND STREET SUITE 3
FREMONT NE
68025
US
V. Phone/Fax
- Phone: 402-721-8805
- Fax:
- Phone: 402-721-8805
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LMHP2117 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LMHP196 |
| License Number State | NE |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LMHP2549 |
| License Number State | NE |
VIII. Authorized Official
Name: MRS.
MICHELLE
RENEE
BURGER
Title or Position: PRESIDENT
Credential: LMHP
Phone: 402-721-8805