| Angie Charter Llc | |
|
18049 Oak St Ste B Omaha NE 68130-6093 | |
| (402) 680-9201 | |
| Not Available |
| Full Name | Angie Charter Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18049 Oak St Ste B, Omaha, Nebraska |
| Authorized Official Name and Position | Angela Chartier (OWNER) |
| Authorized Official Contact | 4026809201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angie Charter Llc 18049 Oak St Ste B Omaha NE 68130-6093 Ph: (402) 680-9201 | Angie Charter Llc 18049 Oak St Ste B Omaha NE 68130-6093 Ph: (402) 680-9201 |
| NPI Number | 1083266100 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083266100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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