Dorton Therapy Services | |
3000 Farnam St Ste 6 Omaha NE 68131-3521 | |
(415) 200-8957 | |
(515) 724-7468 |
Full Name | Dorton Therapy Services |
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Speciality | Counselor |
Location | 3000 Farnam St Ste 6, Omaha, Nebraska |
Authorized Official Name and Position | Amy Dorton (OWNER) |
Authorized Official Contact | 4152008957 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dorton Therapy Services 3000 Farnam St Ste 6 Omaha NE 68131-3521 Ph: (415) 200-8957 | Dorton Therapy Services 3000 Farnam St Ste 6 Omaha NE 68131-3521 Ph: (415) 200-8957 |
NPI Number | 1528551314 |
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Provider Enumeration Date | 06/07/2018 |
Last Update Date | 06/07/2018 |
Medicare PECOS PAC ID | 6204183999 |
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Medicare Enrollment ID | O20180726001901 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528551314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4983 (Nebraska) | Primary |
Provider Name | Amy L Dorton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801301916 PECOS PAC ID: 7618237553 Enrollment ID: I20180216000182 |
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