MEDICARE: FAMILY MATTERS COUNSELING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	552	NE

General Provider Information

NPI Number	:	1639560592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MATTERS COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	410 E B ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-4049
Country	:	US
Telephone Number	:	308-534-3351
Fax Number	:	308-696-2200

Provider Business Practice Location Address
First Line	:	410 E B ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-4049
Country	:	US
Telephone Number	:	308-534-3351
Fax Number	:	308-696-2200

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KRISTINE WRIGHT
Credential	:
Telephone Number	:	308-534-3351

Provider Enumeration Date	:	02/13/2015
Last Update Date	:	01/29/2024

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