| Competitive Edge Therapies, Llc | |
|
3677 N 129th St Omaha NE 68164-5211 | |
| (913) 380-4449 | |
| Not Available |
| Full Name | Competitive Edge Therapies, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3677 N 129th St, Omaha, Nebraska |
| Authorized Official Name and Position | Mark W Erickson (COUNSELOR) |
| Authorized Official Contact | 6086584979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Competitive Edge Therapies, Llc 10101 W 136th Pl Apt 2309 Overland Park KS 66221-7829 Ph: (608) 658-4979 | Competitive Edge Therapies, Llc 3677 N 129th St Omaha NE 68164-5211 Ph: (913) 380-4449 |
| NPI Number | 1528735305 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528735305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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