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General NPI Number Information
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NPI Number | 1912455452
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Entity Type | Organization
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Legal Business Name | BEACON OF HOPE COUNSELING CENTER LLC
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 308 W 4TH ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-3828
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Country | US
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Telephone | 308-532-0777
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Fax | 308-532-0389
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Provider Business Mailing Address
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Address Line | 308 WEST 4TH ST.
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City | NORTH PLATTE
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State | NE
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Zip | 69101-3828
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Country | US
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Telephone | 308-532-0777
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Fax | 308-532-0389
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Authorized Official
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Title or Position | OWNER THERAPIST
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Name | MRS. THERESA KAY FELDMAN
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Credential | MS, LIMHP, LADC
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Telephone | 308-532-0777
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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 | 556
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License Number State | NE
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