Provider Demographics
NPI:1386419547
Name:EAGLE FEATHER COUNSELING
Entity type:Organization
Organization Name:EAGLE FEATHER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:VAVRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-627-6126
Mailing Address - Street 1:1100 E SOUTH STREET #1
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901
Mailing Address - Country:US
Mailing Address - Phone:402-834-1025
Mailing Address - Fax:855-838-8884
Practice Address - Street 1:233 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-5149
Practice Address - Country:US
Practice Address - Phone:402-834-1025
Practice Address - Fax:855-838-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty