Provider Demographics
NPI:1861735623
Name:COUNSELING FOR IMMIGRANT SERVICES (CSI)
Entity type:Organization
Organization Name:COUNSELING FOR IMMIGRANT SERVICES (CSI)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLMHP
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WAL
Authorized Official - Last Name:JAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-609-0261
Mailing Address - Street 1:2100 S 51ST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3109
Mailing Address - Country:US
Mailing Address - Phone:402-609-0261
Mailing Address - Fax:
Practice Address - Street 1:2100 S 51ST ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3109
Practice Address - Country:US
Practice Address - Phone:402-609-0261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-30
Last Update Date:2013-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9837101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty