Pearl Street Counseling, LLC

NPI #1396209623 in Wayne, Nebraska

Provider Information

NPI Number: 1396209623
Entity Type: Organization
Organization Name: Pearl Street Counseling, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 31, 2019
Last Updated: Jan 31, 2019

Practice Location

Address: 421 N PEARL STREET
City: Wayne
State: Nebraska
ZIP Code: 68787
Phone: (402) 286-4891

Authorized Official

Name: MS. LIN M BRUMMELS, LMHP, CDC
Title: AUTHORIZED AGENT
Phone: (402) 286-4891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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