Samuel Crouch
LBN: Fulcrum Counseling Services, Llc
Samuel Crouch is an health care organization with primary practice located at 115 W Railway St Ste A102 , Scottsbluff NE 69361-3180. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Fulcrum Counseling Services, Llc can be contacted via phone (308) 225-0500, or through Crouch, Samuel via phone (308) 225-0500.
Contact Information
Primary practice address
115 W Railway St Ste A102
Scottsbluff NE 69361-3180
Phone: (308) 225-0500
Fax: (308) 365-6848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1215402151 |
|---|---|
| LBN Legal business name | Fulcrum Counseling Services, Llc |
| DBA Doing business as | Samuel Crouch |
| Authorized official | Crouch, Samuel M.S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 8th, 2018 |
| Last updated | Jan 8th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215402151 | NPPES |
| Nebraska | MEDICAID | 53611285605 | |
| Nebraska | MEDICAID | 10026769300 |
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