Healthcare Provider Details

I. General information

NPI: 1609556703
Provider Name (Legal Business Name): CRANE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023
Certification Date: 07/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12608 S 74TH ST
PAPILLION NE
68046-4887
US

IV. Provider business mailing address

12608 S 74TH ST
PAPILLION NE
68046-4887
US

V. Phone/Fax

Practice location:
  • Phone: 402-783-1150
  • Fax:
Mailing address:
  • Phone: 402-783-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA SMITH
Title or Position: MENTAL HEALTH COUNSELOR
Credential:
Phone: 402-783-1150