# SAMARITAN COUNSELING CENTER CORPORATION

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

## Provider details

- **NPI number:** 1851457899
- **Authorized official:** RICHARD W. VAUTRAVERS (BOARD TREASURER)
- **Authorized official phone:** (402) 483-5117

## Contact information

- **Practice address:** 8650 PIONEERS BLVD, LINCOLN, NE 68520
- **Practice address phone:** (402) 483-5117
- **Practice address fax:** (402) 483-5154
- **Mailing address:** 8650 PIONEERS BLVD, LINCOLN, NE 68520
- **Mailing address phone:** (402) 483-5117
- **Mailing address fax:** (402) 483-5154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 12/02/2009
