| Harmony Health Centers Llc | |
|
4719 Prescott Ave Lincoln NE 68506-5456 | |
| (402) 413-9147 | |
| (402) 261-7149 |
| Full Name | Harmony Health Centers Llc |
|---|---|
| Speciality | Counselor |
| Location | 4719 Prescott Ave, Lincoln, Nebraska |
| Authorized Official Name and Position | Crystal Holloway (CREDENTIALLING AGENT) |
| Authorized Official Contact | 4026946445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Health Centers Llc 4719 Prescott Ave Lincoln NE 68506-5456 Ph: (402) 413-9147 | Harmony Health Centers Llc 4719 Prescott Ave Lincoln NE 68506-5456 Ph: (402) 413-9147 |
| NPI Number | 1255893186 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 9931511615 |
|---|---|
| Medicare Enrollment ID | O20201222002185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255893186 | NPI | - | NPPES |
| 10026774000 | Medicaid | NE | |
| 10026774001 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Hope E Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861038796 PECOS PAC ID: 1850764580 Enrollment ID: I20230228002632 |
| Provider Name | Andrea Rose De La Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427349638 PECOS PAC ID: 3173964707 Enrollment ID: I20240514003869 |
| Provider Name | Kathleen Marcey-fleming |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942341797 PECOS PAC ID: 6709227069 Enrollment ID: I20240517000345 |
| Provider Name | Robert D Kohles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063584159 PECOS PAC ID: 9739621061 Enrollment ID: I20240603000548 |
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