| Emily L. Goodman Pc | |
|
701 P St Ste 303 Lincoln NE 68508-1356 | |
| (402) 560-4156 | |
| (402) 267-4656 |
| Full Name | Emily L. Goodman Pc |
|---|---|
| Speciality | Counselor |
| Location | 701 P St Ste 303, Lincoln, Nebraska |
| Authorized Official Name and Position | Emily L Goodman (OWNER) |
| Authorized Official Contact | 4025604156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily L. Goodman Pc 701 P St Ste 303 Lincoln NE 68508-1356 Ph: (402) 560-4156 | Emily L. Goodman Pc 701 P St Ste 303 Lincoln NE 68508-1356 Ph: (402) 560-4156 |
| NPI Number | 1184253502 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 4486091295 |
|---|---|
| Medicare Enrollment ID | O20240328000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184253502 | NPI | - | NPPES |
| 1026822500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Emily Goodman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073979514 PECOS PAC ID: 4880021310 Enrollment ID: I20240328000183 |
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