Provider Demographics
NPI:1144002320
Name:TALKINGTON COUNSELING AND WELLNESS, LLC
Entity type:Organization
Organization Name:TALKINGTON COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:GALLANT
Authorized Official - Suffix:
Authorized Official - Credentials:PLADC
Authorized Official - Phone:308-360-1080
Mailing Address - Street 1:701 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GORDON
Mailing Address - State:NE
Mailing Address - Zip Code:69343-1033
Mailing Address - Country:US
Mailing Address - Phone:308-360-1080
Mailing Address - Fax:
Practice Address - Street 1:203 KLUEFFER ST
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:NE
Practice Address - Zip Code:69360-4565
Practice Address - Country:US
Practice Address - Phone:308-360-1080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty