| Living Our Vision Everyday, Llc | |
|
4611 S 96th St Ste 233 Omaha NE 68127 | |
| (402) 507-0987 | |
| (833) 517-5440 |
| Full Name | Living Our Vision Everyday, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4611 S 96th St Ste 233, Omaha, Nebraska |
| Authorized Official Name and Position | Tomeka Johnson (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4028857672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Our Vision Everyday, Llc 4611 S 96th St Ste 233 Omaha NE 68127-1243 Ph: (402) 507-0987 | Living Our Vision Everyday, Llc 4611 S 96th St Ste 233 Omaha NE 68127 Ph: (402) 507-0987 |
| NPI Number | 1962919092 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 05/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962919092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4954 (Nebraska) | Primary |
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