Organization Name: | CARLENE KELLER LMHP COUNSELING SERVICES |
NPI Number: | 1285859884 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARLENE RAE KELLER (OWNER) |
Mailing Address: | 907 W L St Mccook |
State: | NE US |
Postal Code: | 690012480 |
Phone Number: | 3083457062 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1561 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |