EMBARK COUNSELING, LLC


Address: 1969 E 68th St, Columbus, NE 68601-9618
Phone: 4022761502

EMBARK COUNSELING, LLC (NPI# 1124518709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124518709
Entity Type Organization
Organization Name EMBARK COUNSELING, LLC
Practice Address 1969 E 68th St
Columbus
NE 68601-9618
Practice Telephone 4022761502
Mailing Telephone 4022761502
Enumeration Date 2018-05-18
Last Update Date 2018-05-18
Authorized Official Name MINDY MUHLE (OWNER)
Authorized Official Telephone 4022761502
Authorized Official Credential LIMHP, LMFT, MED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 106H00000X Marriage & Family Therapist 183 NE Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
1759 NE Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 10025520800 05
NPI (INDIVIDUAL) 1376944603 01
CAQH PROVIDER ID 13809308 01

Office Location

Street Address 1969 E 68TH ST
City COLUMBUS
State NE
Zip Code 68601-9618

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City COLUMBUS
Zip Code 68601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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