| Holistic Healing Counseling Center, Llc | |
|
4344 N 62nd St Lincoln NE 68507-1215 | |
| (308) 360-2444 | |
| Not Available |
| Full Name | Holistic Healing Counseling Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4344 N 62nd St, Lincoln, Nebraska |
| Authorized Official Name and Position | Dezi Mcevoy (THERAPIST) |
| Authorized Official Contact | 3083602444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Healing Counseling Center, Llc 5700 S 96th St Lincoln NE 68526-9753 Ph: (308) 360-2444 | Holistic Healing Counseling Center, Llc 4344 N 62nd St Lincoln NE 68507-1215 Ph: (308) 360-2444 |
| NPI Number | 1649983545 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 5597137885 |
|---|---|
| Medicare Enrollment ID | O20230215000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649983545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dezirae Mcevoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861940496 PECOS PAC ID: 1850626664 Enrollment ID: I20190717000352 |
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