| Amanda Ike Therapy | |
|
3031 S 87th St Omaha NE 68124-3042 | |
| (701) 580-0662 | |
| Not Available |
| Full Name | Amanda Ike Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3031 S 87th St, Omaha, Nebraska |
| Authorized Official Name and Position | Amanda M Ike (OWNER) |
| Authorized Official Contact | 7015800662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Ike Therapy 3031 S 87th St Omaha NE 68124-3042 Ph: (701) 580-0662 | Amanda Ike Therapy 3031 S 87th St Omaha NE 68124-3042 Ph: (701) 580-0662 |
| NPI Number | 1831736289 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831736289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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