Healthcare Provider Details

I. General information

NPI: 1811807597
Provider Name (Legal Business Name): MVM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W 4TH ST
NORTH PLATTE NE
69101-3828
US

IV. Provider business mailing address

9466 S COYOTE LN
NORTH PLATTE NE
69101-9132
US

V. Phone/Fax

Practice location:
  • Phone: 308-270-5581
  • Fax:
Mailing address:
  • Phone: 501-516-3740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA MITCHELL
Title or Position: OWNER
Credential: PLMHP
Phone: 501-516-3740