Provider Demographics
NPI:1548533813
Name:FAMILY FIRST COUNSELING
Entity type:Organization
Organization Name:FAMILY FIRST COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DUFFEK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LIMHP, LADAC
Authorized Official - Phone:402-362-5650
Mailing Address - Street 1:202 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-3640
Mailing Address - Country:US
Mailing Address - Phone:402-362-5650
Mailing Address - Fax:866-669-2264
Practice Address - Street 1:202 E 5TH ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-3640
Practice Address - Country:US
Practice Address - Phone:402-362-5650
Practice Address - Fax:866-669-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE7751OtherMIDLANDS CHOICE
NE84290OtherBLUE CROSS BLUE SHIELD
NE50590922526Medicaid
NE075436OtherVALUEOPTIONS