| Authentic Life Care, Llc | |
|
8790 F St Omaha NE 68127-1524 | |
| (402) 213-0244 | |
| (402) 702-1540 |
| Full Name | Authentic Life Care, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8790 F St, Omaha, Nebraska |
| Authorized Official Name and Position | Randall Hager (OWNER) |
| Authorized Official Contact | 4022130244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Life Care, Llc 8790 F St Omaha NE 68127-1524 Ph: (402) 213-0244 | Authentic Life Care, Llc 8790 F St Omaha NE 68127-1524 Ph: (402) 213-0244 |
| NPI Number | 1710758446 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710758446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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