| Amber Fry Counseling, Pc | |
|
1710 N 144th St Ste 4 Omaha NE 68154-4715 | |
| (402) 315-3522 | |
| (402) 614-6174 |
| Full Name | Amber Fry Counseling, Pc |
|---|---|
| Speciality | Counselor |
| Location | 1710 N 144th St, Omaha, Nebraska |
| Authorized Official Name and Position | Amber Fry (PRESIDENT) |
| Authorized Official Contact | 4023153522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Fry Counseling, Pc 1710 N 144th St Ste 4 Omaha NE 68154-4715 Ph: (402) 315-3522 | Amber Fry Counseling, Pc 1710 N 144th St Ste 4 Omaha NE 68154-4715 Ph: (402) 315-3522 |
| NPI Number | 1700147196 |
|---|---|
| Provider Enumeration Date | 06/03/2012 |
| Last Update Date | 06/03/2012 |
| Medicare PECOS PAC ID | 0244683613 |
|---|---|
| Medicare Enrollment ID | O20240201002243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700147196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 916 (Nebraska) | Primary |
| Provider Name | Amber D. Fry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144337296 PECOS PAC ID: 1153774526 Enrollment ID: I20240201002345 |
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