Organization
MCCULLOUGH COUNSELING & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA R MCCULLOUGH MHR, LMHP, LADC (CEO)
(402) 457-5761
Entity
Organization
Contact information
Practice address
5951 AMES AVE, # 28, OMAHA, NE 68104-2705
(402) 457-5761
(402) 457-1997
Mailing address
5951 AMES AVE, # 28, OMAHA, NE 68104-2705
(402) 457-5761
(402) 457-1997
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3302
NE
251S00000X
Community/Behavioral Health Agency
603
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025813200
—
NE
Enumeration date
01/19/2010
Last updated
01/19/2010
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