| Chmp Llc | |
|
1630 Washington St Blair NE 68008-1656 | |
| (402) 533-3680 | |
| (402) 533-4411 |
| Full Name | Chmp Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1630 Washington St, Blair, Nebraska |
| Authorized Official Name and Position | Chandra M Petersen (OWNER) |
| Authorized Official Contact | 4025333680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chmp Llc Po Box 589 Blair NE 68008-0589 Ph: (402) 533-3680 | Chmp Llc 1630 Washington St Blair NE 68008-1656 Ph: (402) 533-3680 |
| NPI Number | 1841431541 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 03/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841431541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 731 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2997 (Nebraska) | Primary |
Inspiring Change Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 128 S 17th St, Blair, NE 68008 Phone: 402-304-9229 | |
Kay Arispe Psychotherapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 403 S 16th St Ste B, Blair, NE 68008 Phone: 308-550-0697 | |
Michelle Godfrey, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 South St Ste 105, Blair, NE 68008 Phone: 402-677-0851 |