FAMILY NETWORK NPI 1124399464

NPI Information

NPI: 1124399464
Provider Name: FAMILY NETWORK
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1811 W 2ND ST
SUITE 330
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 382-8085
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FAMILY NETWORK is a mental health counselor in Grand Island, NE. FAMILY NETWORK NPI is 1124399464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1811 W 2ND ST
SUITE 330
GRAND ISLAND, NE
ZIP 68803-413
Phone: (308) 382-8085
Fax: (308) 382-2582

The provider's authorized official is Kaye Mindt Long .
The authorized official title is Sole Proprietor and has the following contact phone number (308) 382-8085.

The enumeration date for this NPI number is 1/18/2012 and was last updated on 1/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	320,787, AND 511	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10026098900	MEDICAID	NEBRASKA
2	260662	OTHER	NEBRASKA	PTAN MDCR (ORIGINAL)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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