| Havelock Psychotherapy, Llc | |
|
6101 Havelock Ave St 2a Lincoln NE 68507-1268 | |
| (402) 404-6973 | |
| Not Available |
| Full Name | Havelock Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6101 Havelock Ave St 2a, Lincoln, Nebraska |
| Authorized Official Name and Position | James Michael Bowers (OWNER) |
| Authorized Official Contact | 4024046973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Havelock Psychotherapy, Llc 6101 Havelock Ave St 2a Lincoln NE 68507-1268 Ph: (402) 404-6973 | Havelock Psychotherapy, Llc 6101 Havelock Ave St 2a Lincoln NE 68507-1268 Ph: (402) 404-6973 |
| NPI Number | 1740797562 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 01/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740797562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 1667 (Nebraska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1653 (Nebraska) | Primary |
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