| Jamie Moline Llc | |
|
2900 S 70th St Ste 160 Lincoln NE 68506-3733 | |
| (402) 204-0341 | |
| Not Available |
| Full Name | Jamie Moline Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2900 S 70th St Ste 160, Lincoln, Nebraska |
| Authorized Official Name and Position | Jamie Moline (OWNER) |
| Authorized Official Contact | 4022026965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Moline Llc 1431 Kaila Dr Eagle NE 68347-1851 Ph: (402) 202-6965 | Jamie Moline Llc 2900 S 70th St Ste 160 Lincoln NE 68506-3733 Ph: (402) 204-0341 |
| NPI Number | 1841937307 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841937307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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