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General NPI Number Information
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NPI Number | 1063103349
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Entity Type | Organization
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Legal Business Name | RIVERBANKS COUNSELING, LLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 610 J ST STE 300
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City | LINCOLN
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State | NE
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Zip | 68508-2967
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Country | US
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Telephone | 402-413-8658
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Fax |
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Provider Business Mailing Address
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Address Line | 7902 S 67TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-2390
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Country | US
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Telephone | 531-229-6682
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA CAMPBELL
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Credential |
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Telephone | 402-413-8658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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