Organization
DEEP WATERS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MOORE LIMHP, LADC (OWNER, COUNSELOR)
(531) 600-9344
Entity
Organization
Contact information
Practice address
208 E 5TH ST APT 4E, YORK, NE 68467-3670
(402) 366-6436
Mailing address
208 E 5TH ST APT 4E, YORK, NE 68467-3670
(402) 366-6436
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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