| Graceful Warrior Counseling And Consulting Llc | |
|
321 E State St Brady NE 69123-3043 | |
| (402) 917-0334 | |
| Not Available |
| Full Name | Graceful Warrior Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 321 E State St, Brady, Nebraska |
| Authorized Official Name and Position | Jennifer Spencer (OWNER) |
| Authorized Official Contact | 4029170334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Warrior Counseling And Consulting Llc Po Box 115 Brady NE 69123-0115 Ph: (402) 917-0334 | Graceful Warrior Counseling And Consulting Llc 321 E State St Brady NE 69123-3043 Ph: (402) 917-0334 |
| NPI Number | 1578269957 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 2466990494 |
|---|---|
| Medicare Enrollment ID | O20240821001630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578269957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Spencer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154601250 PECOS PAC ID: 3375081300 Enrollment ID: I20240821002134 |
Jodi Nelan Lcsw Lac Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5139 N Miller Rd, Brady, NE 69123 Phone: 404-259-5202 |