| Grief & Gratitude Counseling Llc | |
|
2217 W 12th St Ste 4 Hastings NE 68901-3660 | |
| (402) 318-9797 | |
| Not Available |
| Full Name | Grief & Gratitude Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2217 W 12th St Ste 4, Hastings, Nebraska |
| Authorized Official Name and Position | Ashleigh Kristen Drudik (LMHP, CMSW) |
| Authorized Official Contact | 4023189797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grief & Gratitude Counseling Llc 2217 W 12th St Ste 4 Hastings NE 68901-3660 Ph: (402) 318-9797 | Grief & Gratitude Counseling Llc 2217 W 12th St Ste 4 Hastings NE 68901-3660 Ph: (402) 318-9797 |
| NPI Number | 1316675960 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 3274918149 |
|---|---|
| Medicare Enrollment ID | O20220913001391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316675960 | NPI | - | NPPES |
| 1316559362 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ashleigh Kristen Drudik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316559362 PECOS PAC ID: 4183009053 Enrollment ID: I20220913001644 |
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