| Harold P Moseley Dba Life Enrichment Services | |
|
4780 S 131st St Suite 7a Omaha NE 68137-1865 | |
| (402) 740-6576 | |
| (402) 504-3111 |
| Full Name | Harold P Moseley Dba Life Enrichment Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4780 S 131st St, Omaha, Nebraska |
| Authorized Official Name and Position | Harold Moseley (CO-DIRECTOR) |
| Authorized Official Contact | 4027406576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold P Moseley Dba Life Enrichment Services 4780 S 131st St Suite 7a Omaha NE 68137-1865 Ph: (402) 740-6576 | Harold P Moseley Dba Life Enrichment Services 4780 S 131st St Suite 7a Omaha NE 68137-1865 Ph: (402) 740-6576 |
| NPI Number | 1558566067 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558566067 | NPI | - | NPPES |
| 82425 | Other | NE | BLUE CROSS/BLUE SHIELD FOR HAROLD MOSELEY, LCSW |
| 85529 | Other | NE | BLUECROSS/BLUE SHIELD FOR SHARON G. MOSELEY, LCSW |
| 10025477100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHP #914 (Nebraska) | Primary |
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