Lotus Psychotherapy, Llc | |
17670 Welch Plz Ste 102 Omaha NE 68135-3805 | |
(402) 885-9855 | |
Not Available |
Full Name | Lotus Psychotherapy, Llc |
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Speciality | Social Worker |
Location | 17670 Welch Plz Ste 102, Omaha, Nebraska |
Authorized Official Name and Position | Elizabeth Gillaspie (OWNER/THERAPIST) |
Authorized Official Contact | 4028859855 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lotus Psychotherapy, Llc 5649 Emile St Omaha NE 68106-1217 Ph: (402) 960-0355 | Lotus Psychotherapy, Llc 17670 Welch Plz Ste 102 Omaha NE 68135-3805 Ph: (402) 885-9855 |
NPI Number | 1952838005 |
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Provider Enumeration Date | 05/20/2017 |
Last Update Date | 05/20/2017 |
Medicare PECOS PAC ID | 0446529150 |
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Medicare Enrollment ID | O20170711002576 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952838005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1760 (Nebraska) | Primary |
Provider Name | Elizabeth Gillaspie |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871981530 PECOS PAC ID: 3577845445 Enrollment ID: I20170130001065 |
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