| Authentic Self Counseling, Llc | |
|
11640 Arbor St Ste 101 Omaha NE 68144-5007 | |
| (402) 881-0261 | |
| Not Available |
| Full Name | Authentic Self Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11640 Arbor St Ste 101, Omaha, Nebraska |
| Authorized Official Name and Position | Alexandra Parra (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 5317778917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Self Counseling, Llc 3068 S 60th St Apt 28 Omaha NE 68106-4348 Ph: (531) 777-8917 | Authentic Self Counseling, Llc 11640 Arbor St Ste 101 Omaha NE 68144-5007 Ph: (402) 881-0261 |
| NPI Number | 1902648272 |
|---|---|
| Provider Enumeration Date | 06/08/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902648272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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