| Envision Counseling Center, Llc | |
|
3213 N 90th St Omaha NE 68134-4707 | |
| (402) 571-3995 | |
| (402) 571-3980 |
| Full Name | Envision Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3213 N 90th St, Omaha, Nebraska |
| Authorized Official Name and Position | Michelle Oczki (MEMBER) |
| Authorized Official Contact | 4025713995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Counseling Center, Llc 3213 N. 90th St. Omaha NE 68134 Ph: (402) 571-3995 | Envision Counseling Center, Llc 3213 N 90th St Omaha NE 68134-4707 Ph: (402) 571-3995 |
| NPI Number | 1265674972 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 03/26/2009 |
| Medicare PECOS PAC ID | 3971759069 |
|---|---|
| Medicare Enrollment ID | O20120806000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265674972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 345 (Nebraska) | Primary |
| Provider Name | Teresa I Judy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306018833 PECOS PAC ID: 9931355047 Enrollment ID: I20120806000396 |
| Provider Name | Michelle Oczki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841365186 PECOS PAC ID: 5496825697 Enrollment ID: I20240604001759 |
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