| Premier Counseling Services, Llc | |
|
625 E 39th St South Sioux City NE 68776-3445 | |
| (712) 870-1445 | |
| Not Available |
| Full Name | Premier Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 625 E 39th St, South Sioux City, Nebraska |
| Authorized Official Name and Position | Kelley Polk (CLINICAL THERAPIST) |
| Authorized Official Contact | 7128701445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Counseling Services, Llc 3421 Macomb Ave Sioux City IA 51106-1626 Ph: (712) 870-1445 | Premier Counseling Services, Llc 625 E 39th St South Sioux City NE 68776-3445 Ph: (712) 870-1445 |
| NPI Number | 1205227394 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205227394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1139 (Nebraska) | Primary |
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