| Rachel Pieloch Llc | |
|
1500 S 70th St Ste 105 Lincoln NE 68506-1574 | |
| (402) 413-1504 | |
| Not Available |
| Full Name | Rachel Pieloch Llc |
|---|---|
| Speciality | Counselor |
| Location | 1500 S 70th St Ste 105, Lincoln, Nebraska |
| Authorized Official Name and Position | Racheil Pieloch (OWNER) |
| Authorized Official Contact | 4022613714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Pieloch Llc 1500 S 70th St Ste 105 Lincoln NE 68506-1574 Ph: (402) 413-1504 | Rachel Pieloch Llc 1500 S 70th St Ste 105 Lincoln NE 68506-1574 Ph: (402) 413-1504 |
| NPI Number | 1609424860 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 3577983667 |
|---|---|
| Medicare Enrollment ID | O20201012000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609424860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rachel A Pieloch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437716511 PECOS PAC ID: 6305266628 Enrollment ID: I20201027003075 |
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