=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255692307
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE RIGHT CHOICE COUNSELING CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2012
-----------------------------------------------------
Last Update Date | 06/05/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2302 8TH AVE
-----------------------------------------------------
City | PLATTSMOUTH
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68048-2365
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-616-6899
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1131 RAWHIDE RD
-----------------------------------------------------
City | PAPILLION
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68046-3851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-616-6899
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MISS VALORIE JEAN ROSE
-----------------------------------------------------
Credential | LMHP LADC CPC
-----------------------------------------------------
Telephone | 402-616-6899
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 934
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 1944
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 3922
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------