# PEARL STREET COUNSELING, LLC

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

## Provider details

- **NPI number:** 1396209623
- **Authorized official:** MS. LIN M BRUMMELS LMHP, CDC (AUTHORIZED AGENT)
- **Authorized official phone:** (402) 286-4891

## Contact information

- **Practice address:** 421 N PEARL STREET, WAYNE, NE 68787
- **Practice address phone:** (402) 286-4891
- **Mailing address:** 85365 567TH AVENUE, WINSIDE, NE 68790
- **Mailing address phone:** (402) 286-4891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 01/31/2019
- **Last updated:** 01/31/2019