| Advanced Psychotherapy Llc | |
|
1919 S 40th St Ste 206 Lincoln NE 68506-5247 | |
| (402) 540-2973 | |
| (888) 959-0716 |
| Full Name | Advanced Psychotherapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 1919 S 40th St Ste 206, Lincoln, Nebraska |
| Authorized Official Name and Position | Seth Brown (OWNER) |
| Authorized Official Contact | 4025402973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychotherapy Llc 1919 S 40th St Ste 206 Lincoln NE 68506-5247 Ph: (402) 540-2973 | Advanced Psychotherapy Llc 1919 S 40th St Ste 206 Lincoln NE 68506-5247 Ph: (402) 540-2973 |
| NPI Number | 1720408602 |
|---|---|
| Provider Enumeration Date | 04/18/2014 |
| Last Update Date | 06/05/2021 |
| Certification Date | 06/05/2021 |
| Medicare PECOS PAC ID | 9638578982 |
|---|---|
| Medicare Enrollment ID | O20210519000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720408602 | NPI | - | NPPES |
| 10026189000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 576 (Nebraska) | Primary |
| Provider Name | Jennifer L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790286847 PECOS PAC ID: 5799184040 Enrollment ID: I20210519000948 |
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