| Lifespan Counseling Omaha, Llc | |
|
8601 W Dodge Rd Ste 106 Omaha NE 68114-3430 | |
| (402) 575-5577 | |
| Not Available |
| Full Name | Lifespan Counseling Omaha, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8601 W Dodge Rd Ste 106, Omaha, Nebraska |
| Authorized Official Name and Position | Myisha Parsha (CO-OWNER) |
| Authorized Official Contact | 5314441963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Counseling Omaha, Llc 15705 W Dodge Road 102 Omaha NE 68118-2536 Ph: (402) 575-5577 | Lifespan Counseling Omaha, Llc 8601 W Dodge Rd Ste 106 Omaha NE 68114-3430 Ph: (402) 575-5577 |
| NPI Number | 1487312559 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 3173991825 |
|---|---|
| Medicare Enrollment ID | O20221130001516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487312559 | NPI | - | NPPES |
| Provider Name | Janet M Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942379516 PECOS PAC ID: 8325109903 Enrollment ID: I20081202000451 |
| Provider Name | Tawanda Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376773952 PECOS PAC ID: 6507911609 Enrollment ID: I20090825000549 |
| Provider Name | Kristi L Meints |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790261337 PECOS PAC ID: 3173994837 Enrollment ID: I20230118000148 |
| Provider Name | Laura Kinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548507767 PECOS PAC ID: 4082082730 Enrollment ID: I20230228000544 |
| Provider Name | Kokuvi S Tsogbevi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427757590 PECOS PAC ID: 7618371105 Enrollment ID: I20230504001419 |
| Provider Name | Sherri L. Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700566916 PECOS PAC ID: 0648633461 Enrollment ID: I20230828001101 |
| Provider Name | Tracy Gilman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295357069 PECOS PAC ID: 9436512142 Enrollment ID: I20230829001756 |
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