=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790211027
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPASSIONATE HEALING COUNSELING SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2017
-----------------------------------------------------
Last Update Date | 11/30/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 308 N LOCUST STREET
-----------------------------------------------------
City | GRAND ISLAND
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68801-5984
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-384-4617
-----------------------------------------------------
Fax | 844-270-3023
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 308 N LOCUST STREET
-----------------------------------------------------
City | GRAND ISLAND
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68801-5984
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-384-4617
-----------------------------------------------------
Fax | 844-270-3023
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT, OWNER, MENTAL HEALTH PRO
-----------------------------------------------------
Name | SONYA FRANCES
-----------------------------------------------------
Credential | LIMHP
-----------------------------------------------------
Telephone | 308-384-4617
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------