LIFE COUNSELING AND WELLNESS CENTER (NPI# 1124595004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124595004 |
Entity Type | Organization |
Organization Name | LIFE COUNSELING AND WELLNESS CENTER |
Practice Address |
1516 21st Ave Scottsbluff NE 69361-2736 |
Practice Telephone | 3086319357 |
Mailing Telephone | 3086319357 |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-10-29 |
Authorized Official Name | DANIEL EDWARD PALOMO (OWNER/SUBSTANCE USE COUNSELOR) |
Authorized Official Telephone | 3086319357 |
Authorized Official Credential | LADC, ICADC, AA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
1516 21ST AVE |
City | SCOTTSBLUFF |
State | NE |
Zip Code | 69361-2736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
Find all providers in zip 69361 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861099475 | Great Plains Area Regional Drug Dependency Unit | Substance Abuse Rehabilitation Facility | 113 S Bluff St, Winnebago, NE 68071-9704 | 2020-10-06 |
1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
1164044822 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 512 Verges Avenue, Norfolk, NE 68701-4050 | 2020-05-15 |
1083114821 | Omaha Tribe of Nebraska | Substance Abuse Rehabilitation Facility | 575 Indian Hills Drive, Macy, NE 68039-0250 | 2018-02-19 |
1245758093 | Better Tomorrows Counseling, LLC | Substance Abuse Rehabilitation Facility | 422 N Hastings Ave Ste 206, Hastings, NE 68901-5109 | 2017-08-31 |
1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
1811314081 | Amy Barton | Substance Abuse Rehabilitation Facility | 2633 P Street, Lincoln, NE 68503 | 2014-03-25 |
1447676176 | Kevin Beckler | Substance Abuse Rehabilitation Facility | 1832 S 15th St, Lincoln, NE 68502-2410 | 2014-03-05 |
1265869739 | Kendra K Bevans | Substance Abuse Rehabilitation Facility | 1616 Urbana Ln, Lincoln, NE 68505-1573 | 2013-09-30 |
1992033567 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 305 N 9th St, Norfolk, NE 68701-3915 | 2009-11-19 |
Find all providers with the same taxonomy |
City | SCOTTSBLUFF |
Zip Code | 69361 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.