Organization
OPTIMAL LIVING COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M. BALL MA, PLMHP (OWNER/OPERATOR)
(308) 436-4300
Entity
Organization
Contact information
Practice address
906 N ST, GERING, NE 69341-3335
(308) 436-4300
Mailing address
906 N ST, GERING, NE 69341-3335
(308) 436-4300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8214
NE
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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