| New Life Counseling Llc | |
|
702 W Koenig St Grand Island NE 68801-6556 | |
| (402) 519-0054 | |
| (308) 384-1987 |
| Full Name | New Life Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 702 W Koenig St, Grand Island, Nebraska |
| Authorized Official Name and Position | Sondra Elizabeth Mckinney (OWNER) |
| Authorized Official Contact | 4025190054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Counseling Llc 702 W Koenig St Grand Island NE 68801-6556 Ph: (402) 519-0054 | New Life Counseling Llc 702 W Koenig St Grand Island NE 68801-6556 Ph: (402) 519-0054 |
| NPI Number | 1780141713 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 03/25/2019 |
| Medicare PECOS PAC ID | 1951640671 |
|---|---|
| Medicare Enrollment ID | O20190225001531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780141713 | NPI | - | NPPES |
| 1417391640 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sondra Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417391640 PECOS PAC ID: 4587904628 Enrollment ID: I20190327001863 |
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