| Keen Minds Llc | |
|
4905 S 107th Ave Omaha NE 68127-1965 | |
| (402) 819-1823 | |
| Not Available |
| Full Name | Keen Minds Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4905 S 107th Ave, Omaha, Nebraska |
| Authorized Official Name and Position | Trisha Humphrey (ACCOUNT MANAGER) |
| Authorized Official Contact | 4025044680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keen Minds Llc 16101 Grebe St Bennington NE 68007-1255 Ph: (402) 517-0839 | Keen Minds Llc 4905 S 107th Ave Omaha NE 68127-1965 Ph: (402) 819-1823 |
| NPI Number | 1568048726 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Medicare PECOS PAC ID | 9032518717 |
|---|---|
| Medicare Enrollment ID | O20210528002252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568048726 | NPI | - | NPPES |
| Provider Name | Date K Amouzou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942755954 PECOS PAC ID: 7719267046 Enrollment ID: I20161202001757 |
Santa Monica Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N 39th St, Omaha, NE 68131 Phone: 402-558-7088 Fax: 402-558-7133 | |
Alphaomega Counseling&consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St Ste 538, Omaha, NE 68105 Phone: 402-515-4874 | |
Charles Drew Health Center, Inc At Siena Francis House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 North 17th Street, Omaha, NE 68102 Phone: 402-346-8401 Fax: 402-453-2061 | |
Hill Counseling And Consulting, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St, Suite 129, Omaha, NE 68105 Phone: 402-871-9979 Fax: 402-614-9947 | |
Deborah L. Winckler Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11330 Q St, Ste # 219, Omaha, NE 68137 Phone: 402-490-3672 Fax: 402-597-2349 | |
Serenity Psychodynamics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11605 Arbor St, Suite 102, Omaha, NE 68144 Phone: 402-330-4700 Fax: 402-330-8815 | |
Completely Kids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Saint Marys Ave, Omaha, NE 68105 Phone: 402-397-5809 |