# PREMIER COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205227394
- **Authorized official:** KELLEY POLK LIMHP, LADC (CLINICAL THERAPIST)
- **Authorized official phone:** (712) 870-1445

## Contact information

- **Practice address:** 625 E 39TH ST, SOUTH SIOUX CITY, NE 68776-3445
- **Practice address phone:** (712) 870-1445
- **Mailing address:** 3421 MACOMB AVE, SIOUX CITY, IA 51106-1626
- **Mailing address phone:** (712) 870-1445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1139 | NE | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015