| Julie Ross, Lcsw, Lmhp, Llc | |
|
1627 E Military Ave Ste 200 Fremont NE 68025-5490 | |
| (402) 727-4886 | |
| (402) 727-4146 |
| Full Name | Julie Ross, Lcsw, Lmhp, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1627 E Military Ave Ste 200, Fremont, Nebraska |
| Authorized Official Name and Position | Julie Diane Ross (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4027271681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Ross, Lcsw, Lmhp, Llc 1738 Parkview Dr Fremont NE 68025-4484 Ph: (402) 727-1681 | Julie Ross, Lcsw, Lmhp, Llc 1627 E Military Ave Ste 200 Fremont NE 68025-5490 Ph: (402) 727-4886 |
| NPI Number | 1235648668 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235648668 | NPI | - | NPPES |
| 50778753927 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 918 (Nebraska) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 918 (Nebraska) | Secondary |
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