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General NPI Number Information
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NPI Number | 1417447749
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Entity Type | Organization
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Legal Business Name | EMPOWERMENT COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 120 N DEWEY ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5438
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Country | US
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Telephone | 308-532-3000
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Fax | 308-532-4164
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Provider Business Mailing Address
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Address Line | PO BOX 483
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City | NORTH PLATTE
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State | NE
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Zip | 69103-0483
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Country | US
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Telephone | 308-532-3000
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Fax | 308-532-4164
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | ANGEL NICHOLS
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Credential | CPC, LMHP, LIMHP
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Telephone | 308-532-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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