Adaptive Counseling Services, Llc | |
13520 Discovery Dr Ste 114 Omaha NE 68137-3022 | |
(304) 216-3440 | |
(402) 695-9196 |
Full Name | Adaptive Counseling Services, Llc |
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Speciality | Counselor |
Location | 13520 Discovery Dr Ste 114, Omaha, Nebraska |
Authorized Official Name and Position | Elizabeth G Tolliver (OWNER) |
Authorized Official Contact | 3042163440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adaptive Counseling Services, Llc 13520 Discovery Dr Ste 114 Omaha NE 68137-3022 Ph: (304) 216-3440 | Adaptive Counseling Services, Llc 13520 Discovery Dr Ste 114 Omaha NE 68137-3022 Ph: (304) 216-3440 |
NPI Number | 1073364386 |
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Provider Enumeration Date | 03/27/2024 |
Last Update Date | 04/25/2024 |
Certification Date | 04/25/2024 |
Medicare PECOS PAC ID | 1355886300 |
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Medicare Enrollment ID | O20240715000167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073364386 | NPI | - | NPPES |
10027719700 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Elizabeth G Tolliver |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1669120085 PECOS PAC ID: 2264977214 Enrollment ID: I20240715000225 |
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