| Organization Name: | BURGESS COUNSELING & MEDIATION SERVICES |
| NPI Number: | 1588830905 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARLA J BURGESS (THERAPIST) |
| Mailing Address: | 757 Hwy 281 Suite 4 Red Cloud |
| State: | NE US |
| Postal Code: | 68970 |
| Phone Number: | 4027464141 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |