| Embrace Mental Wellness Llc | |
|
8031 W Center Rd Ste 307 Omaha NE 68124-3134 | |
| (402) 981-6624 | |
| (402) 547-4185 |
| Full Name | Embrace Mental Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8031 W Center Rd Ste 307, Omaha, Nebraska |
| Authorized Official Name and Position | Jumoke M Omojola (OWNER) |
| Authorized Official Contact | 4029816624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Mental Wellness Llc 8031 W Center Rd Ste 307 Omaha NE 68124-3134 Ph: (402) 981-6624 | Embrace Mental Wellness Llc 8031 W Center Rd Ste 307 Omaha NE 68124-3134 Ph: (402) 981-6624 |
| NPI Number | 1194388108 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 8527394410 |
|---|---|
| Medicare Enrollment ID | O20190730004695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194388108 | NPI | - | NPPES |
| 1417334756 | Other | NE | NPI |
| 601024659 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jumoke Omojola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417334756 PECOS PAC ID: 9739493859 Enrollment ID: I20150804003322 |
| Provider Name | Cara Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487014346 PECOS PAC ID: 1355762220 Enrollment ID: I20200601001731 |
| Provider Name | Elizabeth Kujath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508349887 PECOS PAC ID: 8820492168 Enrollment ID: I20210809000913 |
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