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Organization

EMBARK COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINDY MUHLE LIMHP, LMFT, MEDFT (OWNER)
(402) 276-1502
Entity
Organization

Contact information

Practice address
1969 E 68TH ST, COLUMBUS, NE 68601-9618
(402) 276-1502
Mailing address
1969 E 68TH ST, COLUMBUS, NE 68601-9618
(402) 276-1502

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1759
NE
106H00000X
Marriage & Family Therapist
183
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025520800
NE
01
1376944603
NPI (INDIVIDUAL)
01
13809308
CAQH PROVIDER ID
Enumeration date
05/18/2018
Last updated
05/18/2018
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