Organization
PEARL STREET COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIN M BRUMMELS LMHP, CDC (AUTHORIZED AGENT)
(402) 286-4891
Entity
Organization
Contact information
Practice address
421 N PEARL STREET, WAYNE, NE 68787
(402) 286-4891
Mailing address
85365 567TH AVENUE, WINSIDE, NE 68790
(402) 286-4891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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