Healthcare Provider Details
I. General information
NPI: 1801728837
Provider Name (Legal Business Name): SPURGEON COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
428 BRYAN ST STE 200
GRETNA NE
68028-8069
US
IV. Provider business mailing address
21109 ADAMS ST
ELKHORN NE
68022-4127
US
V. Phone/Fax
- Phone: 402-881-0311
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MADISON
SPURGEON
Title or Position: OWNER
Credential:
Phone: 402-881-0311