Organization
PSYCHOLOGICAL & COUNSELING SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHARLES EVANS PHD (PRESIDENT)
(402) 330-1537
Entity
Organization
Contact information
Practice address
12728 AUGUSTA AVE, SUITE 150, OMAHA, NE 68144-3754
(402) 330-1537
(402) 330-9331
Mailing address
12728 AUGUSTA AVE, SUITE 150, OMAHA, NE 68144-3754
(402) 330-1537
(402) 330-9331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
265, 412
NE
103T00000X
Psychologist
380
NE
103TC0700X
Clinical Psychologist
77
NE
104100000X
Social Worker
269
NE
104100000X
Social Worker
44
NE
Other
Enumeration date
05/17/2007
Last updated
04/20/2008
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