| Enlighten Behavioral Health Llc | |
|
7615 Nashway Rd Lincoln NE 68516-3397 | |
| (402) 440-1764 | |
| Not Available |
| Full Name | Enlighten Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7615 Nashway Rd, Lincoln, Nebraska |
| Authorized Official Name and Position | Patrick Lee Kreifels (OWNER/MANAGER) |
| Authorized Official Contact | 4024401764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlighten Behavioral Health Llc 7615 Nashway Rd Lincoln NE 68516-3397 Ph: (402) 440-1764 | Enlighten Behavioral Health Llc 7615 Nashway Rd Lincoln NE 68516-3397 Ph: (402) 440-1764 |
| NPI Number | 1508275801 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 6002034717 |
|---|---|
| Medicare Enrollment ID | O20140821001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508275801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Patrick Lee Kreifels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871883512 PECOS PAC ID: 7810115524 Enrollment ID: I20140821001222 |
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