| Fountainhead Counseling Llc | |
|
11605 Arbor St Ste 106 Omaha NE 68144-2982 | |
| (402) 330-0960 | |
| Not Available |
| Full Name | Fountainhead Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11605 Arbor St Ste 106, Omaha, Nebraska |
| Authorized Official Name and Position | Jennifer P Sheridan (OWNER) |
| Authorized Official Contact | 4022537901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountainhead Counseling Llc 10211 Washington Dr Omaha NE 68127-4523 Ph: (402) 253-7901 | Fountainhead Counseling Llc 11605 Arbor St Ste 106 Omaha NE 68144-2982 Ph: (402) 330-0960 |
| NPI Number | 1790462067 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790462067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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