| Heather Dohrman, Llc | |
|
3600 Village Dr Suite 110 Lincoln NE 68516-6621 | |
| (402) 875-9270 | |
| (402) 875-9272 |
| Full Name | Heather Dohrman, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3600 Village Dr, Lincoln, Nebraska |
| Authorized Official Name and Position | Heather Dohrman (LIMHP) |
| Authorized Official Contact | 4023101838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Dohrman, Llc 3600 Village Dr Suite 110 Lincoln NE 68516-6621 Ph: (402) 875-9270 | Heather Dohrman, Llc 3600 Village Dr Suite 110 Lincoln NE 68516-6621 Ph: (402) 875-9270 |
| NPI Number | 1750828737 |
|---|---|
| Provider Enumeration Date | 01/27/2017 |
| Last Update Date | 01/27/2017 |
| Medicare PECOS PAC ID | 8527411347 |
|---|---|
| Medicare Enrollment ID | O20240129002408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750828737 | NPI | - | NPPES |
| 1609943299 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1324 (Nebraska) | Primary |
| Provider Name | Heather Ann Dohrman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609943299 PECOS PAC ID: 9436502259 Enrollment ID: I20240129002513 |
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