| Organization Name: | OGALLALA COUNSELING INC PC |
| NPI Number: | 1912060476 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEVERLY ANN FRATES MCMAHON (THERAPIST PRESIDENT) |
| Mailing Address: | 103 E 10th St Ogallala |
| State: | NE US |
| Postal Code: | 691531442 |
| Phone Number: | 3082846519 |
| Fax Number: | 3082846513 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 01/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |