| Enlightened Counseling & Healing Llc | |
|
5824 S 142nd St Ste B Omaha NE 68137-2872 | |
| (402) 235-9686 | |
| Not Available |
| Full Name | Enlightened Counseling & Healing Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5824 S 142nd St Ste B, Omaha, Nebraska |
| Authorized Official Name and Position | Jaime Weatherholt (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4022359686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightened Counseling & Healing Llc 5824 S 142nd St Ste B Omaha NE 68137-2872 Ph: (402) 235-9686 | Enlightened Counseling & Healing Llc 5824 S 142nd St Ste B Omaha NE 68137-2872 Ph: (402) 235-9686 |
| NPI Number | 1205464542 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Medicare PECOS PAC ID | 8729418520 |
|---|---|
| Medicare Enrollment ID | O20200418000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205464542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jaime L Weatherholt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346663077 PECOS PAC ID: 5890062962 Enrollment ID: I20170519000941 |
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