| Intentional Healing Of Omaha | |
|
10850 Emmet St Omaha NE 68164-2911 | |
| (402) 915-1387 | |
| Not Available |
| Full Name | Intentional Healing Of Omaha |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10850 Emmet St, Omaha, Nebraska |
| Authorized Official Name and Position | Elisha Suttles (FOUNDER) |
| Authorized Official Contact | 4029151387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Healing Of Omaha 10850 Emmet St Omaha NE 68164-2911 Ph: (402) 915-1387 | Intentional Healing Of Omaha 10850 Emmet St Omaha NE 68164-2911 Ph: (402) 915-1387 |
| NPI Number | 1265264642 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265264642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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