| Beneficent4u Llc | |
|
1120 6th Corso Nebraska City NE 68410-2747 | |
| (402) 713-0110 | |
| (402) 713-0285 |
| Full Name | Beneficent4u Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1120 6th Corso, Nebraska City, Nebraska |
| Authorized Official Name and Position | Tisha Kim Ellis (PMHNP-BC) |
| Authorized Official Contact | 4025412230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beneficent4u Llc 320 N 68th St Omaha NE 68132-2648 Ph: (402) 541-2230 | Beneficent4u Llc 1120 6th Corso Nebraska City NE 68410-2747 Ph: (402) 713-0110 |
| NPI Number | 1801422357 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801422357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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