Hope To Healing | |
3661 N 129th St Omaha NE 68164-5211 | |
(531) 867-3052 | |
(855) 940-6026 |
Full Name | Hope To Healing |
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Speciality | Clinic/Center |
Location | 3661 N 129th St, Omaha, Nebraska |
Authorized Official Name and Position | Jacqueline L Farris (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 5318673052 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope To Healing 3661 N 129th St Omaha NE 68164-5211 Ph: (531) 867-3052 | Hope To Healing 3661 N 129th St Omaha NE 68164-5211 Ph: (531) 867-3052 |
NPI Number | 1730678707 |
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Provider Enumeration Date | 05/05/2018 |
Last Update Date | 10/14/2024 |
Certification Date | 10/14/2024 |
Medicare PECOS PAC ID | 1759739030 |
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Medicare Enrollment ID | O20231127003123 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730678707 | NPI | - | NPPES |
Provider Name | Jacqueline L Farris |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639609050 PECOS PAC ID: 9032460134 Enrollment ID: I20181001000404 |
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